Lightweight upper arm prosthesis addition (below elbow)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Add ue prost be/wd, ultlite

Payers reporting HCPCS L7400

Payer pricing summary

Low

$96

Average

$438

Median

$402

High

$837

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$381	$437	$203	46%	—	$182 – $2.5k
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	358	$381	$382	$87	23%	—	$165 – $1.2k
3	Humana fee schedule · outpatient · +12 other terms	319	$378	$566	$607	107%	—	$197 – $2.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$387	$495	$259	52%	—	$0 – $1.8k
5	WellCare fee schedule · outpatient · +6 other terms	208	$391	$401	$60	15%	—	$361 – $719
6	Devoted fee schedule · outpatient · +3 other terms	165	$379	$382	$9	2%	—	$367 – $458
7	Molina fee schedule · outpatient · +4 other terms	140	$538	$520	$196	38%	—	$256 – $994
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$387	$387	$13	3%	—	$379 – $463
9	Cigna fee schedule · outpatient · +11 other terms	104	$391	$430	$119	28%	—	$237 – $1.1k
10	Anthem fee schedule · outpatient · +8 other terms	80	$374	$515	$499	97%	—	$247 – $2.8k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$389	$606	$425	70%	—	$367 – $2.7k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$550	$669	$175	26%	—	$274 – $949
13	Superior Healthplan fee schedule · outpatient	40	$398	$398	$2	0%	—	$372 – $398
14	Clover fee schedule · outpatient · +3 other terms	37	$379	$382	$20	5%	—	$361 – $450
15	Oscar fee schedule · outpatient · +6 other terms	36	$398	$438	$93	21%	—	$372 – $638
16	Optum fee schedule · outpatient · +3 other terms	33	$379	$496	$201	41%	—	$364 – $949
17	Caresource fee schedule · outpatient · +5 other terms	29	$379	$396	$110	28%	—	$207 – $583
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$397	$381	$30	8%	—	$307 – $404
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$455	$443	$25	6%	—	$376 – $455
20	Bcbs Tx fee schedule · outpatient	18	$372	$372	—	—	—	$372 – $372
21	Medicare fee schedule · outpatient · +3 other terms	18	$367	$368	$3	1%	—	$367 – $374
22	Tricare facility · fee schedule · outpatient · +2 other terms	16	$368	$366	$10	3%	—	$332 – $374
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$377	$435	$108	25%	—	$205 – $596
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$637	$632	$260	41%	—	$354 – $1.0k
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$343	$343	$80	23%	—	$167 – $402

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