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Below Elbow or Wrist Disarticulation, Acrylic Material

Oklahoma 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 Oklahoma, 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 $229 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$195 to $282
FacilityA hospital or hospital-owned outpatient department$229$191 to $447

How much rates vary

Facilitymedian $229 · 10th to 90th $191 to $537Professionalmedian $219 · 10th to 90th $166 to $389
$200$500$1K$2Kfacility $229professional $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
$190.55
Median
$190.55
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$389.05
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
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$363.08
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$295.12

Where Oklahoma sits

The same service costs 2.7 times more in Kansas than in Nebraska. 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.

Oklahoma· 44th of 51

$219

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.