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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 October 2026.

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

$302

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $501 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$219 to $490
FacilityA hospital or hospital-owned outpatient department$501$490 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $288 to $2,089Professionalmedian $295 · 10th to 90th $174 to $603
$200$500$1K$2Kfacility $501professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$281.84
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$512.86
Typical High
$933.25
Medica
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$489.78
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$218.78
Typical High
$346.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$933.25
Midlands
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Midlands
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$933.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$218.78
Typical High
$302.00

Where Nebraska sits

The same service costs 2.4 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 21st of 51

$302

KS $501DE $209

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.