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Below Elbow or Wrist Disarticulation, Acrylic Material

North Dakota rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Rates data updated July 2026.

How much does Below Elbow or Wrist Disarticulation, Acrylic Material cost?

$417

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $324 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$324 to $501
FacilityA hospital or hospital-owned outpatient department$324$324 to $372

How much rates vary

Facilitymedian $324 · 10th to 90th $324 to $550Professionalmedian $417 · 10th to 90th $240 to $550
$200.0$500.0$1.0K$2.0Kfacility $324professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$524.81

Where North Dakota sits

The same service costs 2.7 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Dakota $417 · 6th of 51
KS $525NE $195

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.