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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 July 2026.

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

$347

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $427 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 8 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$324$240 to $417
FacilityA hospital or hospital-owned outpatient department$427$347 to $437

How much rates vary

Facilitymedian $427 · 10th to 90th $339 to $437Professionalmedian $324 · 10th to 90th $195 to $490
$1.0$10.0$100.0$1.0K$10.0Kfacility $427professional $324

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
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$371.54
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
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$891.25
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$446.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$478.63
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$436.52
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$512.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$380.19
Typical High
$457.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$1,698.24
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$269.15
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$380.19

Where Oregon 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.

Oregon $347 · 12th 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.