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
Arlington, TX
See all hospitals reporting HCPCS L7404 →Price type
AMH Cath Labs LLC’s median price of $722 is 3% above the median hospital's median price ($701), higher than 64% of the 818 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, 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 | $688 | $688 | — | — | — | $688 – $688 |
| 2 | Humana medicare advantage case rate · outpatient | $716 | $716 | — | — | — | $716 – $716 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $716 | $716 | — | — | — | $716 – $716 |
| 4 | Molina medicare advantage case rate · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $757 | $757 | — | — | — | $757 – $757 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $764 | $764 | — | — | — | $764 – $764 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $777 | $777 | — | — | — | $777 – $777 |
Last updated: Apr 21, 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.