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Below Elbow or Wrist Disarticulation, Acrylic Material

Nebraska 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?

$195

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $447 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 6 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$195$195 to $240
FacilityA hospital or hospital-owned outpatient department$447$295 to $501

How much rates vary

Facilitymedian $447 · 10th to 90th $282 to $912Professionalmedian $195 · 10th to 90th $170 to $331
$200.0$500.0$1.0K$2.0Kfacility $447professional $195

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
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$426.58
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,202.26
Midlands
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,096.48
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$346.74

Where Nebraska 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.

Nebraska $195 · 51st 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.