go back

Below Elbow or Wrist Disarticulation, Acrylic Material

New Hampshire 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?

$295

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 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$295$251 to $380
FacilityA hospital or hospital-owned outpatient department$447$295 to $468

How much rates vary

Facilitymedian $447 · 10th to 90th $245 to $537Professionalmedian $295 · 10th to 90th $195 to $380
$200.0$500.0$1.0K$2.0Kfacility $447professional $295

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
$245.47
Median
$245.47
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$281.84
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$380.19
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$616.60

Where New Hampshire 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.

New Hampshire $295 · 18th 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.