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Below Elbow or Wrist Disarticulation, Acrylic Material

New Jersey 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?

$219

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $158 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$219$191 to $347
FacilityA hospital or hospital-owned outpatient department$158$158 to $295

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $447Professionalmedian $219 · 10th to 90th $170 to $437
$200.0$500.0$1.0Kfacility $158professional $219

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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$575.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$426.58

Where New Jersey 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 Jersey $219 · 45th 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.