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Below Elbow or Wrist Disarticulation, Acrylic Material

Vermont 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?

$245

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $214 to $275.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $288 · 10th to 90th $263 to $316Professionalmedian $219 · 10th to 90th $214 to $302
$200$500$1Kfacility $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$275.42
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
$288.40
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$870.96

Where Vermont sits

The same service costs 2.7 times more in Kansas than in Nebraska. 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.

Vermont· 30th of 51

$245

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.