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Below Elbow or Wrist Disarticulation, Acrylic Material

Virginia 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?

$269

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $447 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$240$229 to $302
FacilityA hospital or hospital-owned outpatient department$447$302 to $447

How much rates vary

Facilitymedian $447 · 10th to 90th $229 to $562Professionalmedian $240 · 10th to 90th $200 to $427
$1.0$10.0$100.0$1.0K$10.0Kfacility $447professional $240

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
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
$446.68
Typical High
$616.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$524.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$288.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$218.78
Typical High
$331.13

Where Virginia 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.

Virginia $269 · 23rd 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.