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
Boulder, CO
See all hospitals reporting HCPCS L7403 →Price type
Boulder Community Health’s median price of $395 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: 8 payers, 19 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 | Aetna medicare advantage professional · fee schedule · both | $225 | $225 | — | — | — | $225 – $225 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $275 | $275 | — | — | — | $275 – $275 |
| 3 | Aetna commercial professional · fee schedule · both | $324 | $324 | $99 | 31% | — | $225 – $422 |
| 4 | Anthem commercial professional · fee schedule · both | $342 | $342 | — | — | — | $342 – $342 |
| 5 | Anthem managed care professional · fee schedule · both | $342 | $342 | — | — | — | $342 – $342 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $413 | $413 | $46 | 11% | — | $367 – $458 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 9 | Humana medicare advantage professional · fee schedule · both | $458 | $458 | — | — | — | $458 – $458 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $470 | $470 | $2 | 0% | — | $468 – $472 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $472 | $472 | — | — | — | $472 – $472 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $495 | $495 | — | — | — | $495 – $495 |
| 15 | Kaiser commercial professional · fee schedule · both | $587 | $587 | — | — | — | $587 – $587 |
| 16 | MultiPlan commercial professional · fee schedule · both | $706 | $706 | — | — | — | $706 – $706 |
| 17 | Phcs commercial professional · fee schedule · both | $706 | $706 | — | — | — | $706 – $706 |
| 18 | Kaiser commercial facility · case rate · outpatient | $1.0k | $1.0k | $121 | 12% | — | $879 – $1.1k |
| 19 | Kaiser managed care facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Sep 16, 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.