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Below Elbow or Wrist Disarticulation, Acrylic Material

Wyoming rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Rates data updated October 2026.

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

$437

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $437 for this service. Most negotiated rates run $282 to $437.

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 $288 to $389Professionalmedian $437 · 10th to 90th $200 to $437
$200facility $288professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$389.05
Typical High
$389.05
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$199.53
Typical High
$302.00

Where Wyoming sits

The same service costs 2.4 times more in Kansas than in Delaware. 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.

Wyoming· 8th of 51

$437

KS $501DE $209

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.