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Below Elbow or Wrist Disarticulation, Acrylic Material

New York 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?

$269

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $309 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 11 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$269$219 to $309
FacilityA hospital or hospital-owned outpatient department$309$263 to $447

How much rates vary

Facilitymedian $309 · 10th to 90th $191 to $661Professionalmedian $269 · 10th to 90th $191 to $617
$1.0$10.0$100.0$1.0K$10.0Kfacility $309professional $269

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
$213.80
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$707.95
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$363.08
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$309.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$851.14
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$323.59
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$309.03
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$741.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$323.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$309.03

Where New York 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 York $269 · 22nd 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.