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.
Original text from hospital filings
Add ue prost b/e acrylic
Bangor, ME
See all hospitals reporting HCPCS L7403 →Price type
Acadia Hospital’s median price of $393 is 15% below the median hospital's median price ($465), higher than 9% of the 826 hospitals reporting HCPCS L7403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem enhanced pathways facility · fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 3 | Aetna commercial professional · fee schedule · outpatient | $292 | $292 | — | — | — | $292 – $292 |
| 4 | Anthem commercial facility · fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 5 | Anthem mcr advantage facility · fee schedule · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 6 | Aetna mcr advantage facility · fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 7 | Optum mcr advantage facility · fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 8 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 9 | WellCare mcr advantage facility · fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 10 | UnitedHealthcare commercial professional · fee schedule · outpatient | $601 | $601 | — | — | — | $601 – $601 |
Last updated: Mar 30, 2026
See Below-elbow prosthesis add-on, acrylic material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.