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Below Elbow or Wrist Disarticulation, Acrylic Material

South Carolina 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?

$234

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $234 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. 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 6 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$200 to $331
FacilityA hospital or hospital-owned outpatient department$288$200 to $417

How much rates vary

Facilitymedian $288 · 10th to 90th $200 to $550Professionalmedian $219 · 10th to 90th $191 to $331
$200.0$500.0$1.0K$2.0Kfacility $288professional $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
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$302.00

Where South Carolina 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.

South Carolina $234 · 34th 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.