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
Boulder, CO
See all hospitals reporting HCPCS L7404 →Price type
Boulder Community Health’s median price of $596 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: 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · fee schedule · both | $339 | $339 | — | — | — | $339 – $339 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $415 | $415 | — | — | — | $415 – $415 |
| 3 | Aetna commercial professional · fee schedule · both | $488 | $488 | $149 | 31% | — | $339 – $638 |
| 4 | Anthem commercial professional · fee schedule · both | $517 | $517 | — | — | — | $517 – $517 |
| 5 | Anthem managed care professional · fee schedule · both | $517 | $517 | — | — | — | $517 – $517 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $623 | $623 | $69 | 11% | — | $554 – $692 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 9 | Humana medicare advantage professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $709 | $709 | $3 | 0% | — | $706 – $713 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $713 | $713 | — | — | — | $713 – $713 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $747 | $747 | — | — | — | $747 – $747 |
| 15 | Kaiser commercial professional · fee schedule · both | $886 | $886 | — | — | — | $886 – $886 |
| 16 | MultiPlan commercial professional · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Phcs commercial professional · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Kaiser commercial facility · case rate · outpatient | $1.5k | $1.5k | $183 | 12% | — | $1.3k – $1.7k |
| 19 | Kaiser managed care facility · case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Sep 16, 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.