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 a/e acrylic
Bangor, ME
See all hospitals reporting HCPCS L7404 →Price type
Acadia Hospital’s median price of $593 is 15% below the median hospital's median price ($701), higher than 9% of the 822 hospitals reporting HCPCS L7404. 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 | $370 | $370 | — | — | — | $370 – $370 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 3 | Aetna commercial professional · fee schedule · outpatient | $441 | $441 | — | — | — | $441 – $441 |
| 4 | Anthem commercial facility · fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 5 | Anthem mcr advantage facility · fee schedule · outpatient | $655 | $655 | — | — | — | $655 – $655 |
| 6 | Aetna mcr advantage facility · fee schedule · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 7 | Optum mcr advantage facility · fee schedule · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 8 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 9 | WellCare mcr advantage facility · fee schedule · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 10 | UnitedHealthcare commercial professional · fee schedule · outpatient | $907 | $907 | — | — | — | $907 – $907 |
Last updated: Mar 30, 2026
See Upper arm prosthesis addition, acrylic, above-elbow pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.