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
Duluth, MN
See all hospitals reporting HCPCS L7404 →Price type
Aspirus St. Luke’s Hospital’s median price of $684 is 2% below the median hospital's median price ($701), higher than 35% 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, 9 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 | Bcbs Mn blue cross minnesota commercial plans fee schedule · outpatient | $671 | $671 | — | — | — | $671 – $671 |
| 2 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $671 | $671 | — | — | — | $671 – $671 |
| 3 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $671 | $671 | — | — | — | $671 – $671 |
| 4 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $671 | $671 | — | — | — | $671 – $671 |
| 5 | Anthem anthem medicare advantage plans fee schedule · outpatient | $684 | $684 | — | — | — | $684 – $684 |
| 6 | Healthpartners healthpartners medicare advantage plans fee schedule · outpatient | $698 | $698 | — | — | — | $698 – $698 |
| 7 | Aetna medicare advantage esa fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 8 | Humana humana medicare ppo/pos/hmo network plans fee schedule · outpatient | $719 | $719 | — | — | — | $719 – $719 |
| 9 | Anthem anthem blue commercial plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Apr 1, 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.