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
Arlington, TX
See all hospitals reporting HCPCS L7403 →Price type
AMH Cath Labs LLC’s median price of $479 is 3% above the median hospital's median price ($465), higher than 63% of the 822 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, 8 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $456 | $456 | — | — | — | $456 – $456 |
| 2 | Humana medicare advantage case rate · outpatient | $474 | $474 | — | — | — | $474 – $474 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $474 | $474 | — | — | — | $474 – $474 |
| 4 | Molina medicare advantage case rate · outpatient | $479 | $479 | — | — | — | $479 – $479 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $479 | $479 | — | — | — | $479 – $479 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $501 | $501 | — | — | — | $501 – $501 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $506 | $506 | — | — | — | $506 – $506 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $515 | $515 | — | — | — | $515 – $515 |
Last updated: Apr 21, 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.