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Below Elbow or Wrist Disarticulation, Acrylic Material

Oregon 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?

$347

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $427 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$209 to $437
FacilityA hospital or hospital-owned outpatient department$427$347 to $437

How much rates vary

Facilitymedian $427 · 10th to 90th $324 to $490Professionalmedian $288 · 10th to 90th $200 to $490
$100$200$500$1Kfacility $427professional $288

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$912.01
Typical High
$1,148.15
Moda Health
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$380.19
Typical High
$446.68
Moda Health
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$398.11
Typical High
$446.68
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$426.58
Typical High
$446.68
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$446.68
Typical High
$478.63
Providence
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$288.40
Typical High
$446.68
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$208.93
Typical High
$426.58
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$691.83
Typical High
$1,698.24
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$199.53
Typical High
$389.05

Where Oregon 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.

Oregon· 16th of 51

$347

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.