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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 October 2026.

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

$219

Typical negotiated rate. In New Jersey, October 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 $288 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$219$191 to $447
FacilityA hospital or hospital-owned outpatient department$288$288 to $288

How much rates vary

Facilitymedian $288 · 10th to 90th $158 to $447Professionalmedian $219 · 10th to 90th $158 to $447
$200$500facility $288professional $219

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$575.44
Typical High
$575.44
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$245.47
Typical High
$426.58

Where New Jersey 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.

New Jersey· 48th of 51

$219

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.