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Below Elbow or Wrist Disarticulation, Acrylic Material

Tennessee 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?

$214

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $339 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$214$195 to $288
FacilityA hospital or hospital-owned outpatient department$339$263 to $2,089

How much rates vary

Facilitymedian $339 · 10th to 90th $191 to $2,089Professionalmedian $214 · 10th to 90th $191 to $372
$1.0$10.0$100.0$1.0Kfacility $339professional $214

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
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$302.00

Where Tennessee 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.

Tennessee $214 · 48th 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.