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
Macon, GA
See all hospitals reporting HCPCS L7403 →Price type
Central Georgia Rehabilitation LLC’s median price of $451 is 3% below the median hospital's median price ($465), higher than 34% 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: 6 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 | Aetna medicare advantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 3 | Humana medicare advantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 5 | Caresource medicare advantage fee schedule · outpatient | $456 | $456 | — | — | — | $456 – $456 |
| 6 | Clover medicare advantage fee schedule · outpatient | $456 | $456 | — | — | — | $456 – $456 |
| 7 | Humana hmo/pos fee schedule · both | $642 | $642 | — | — | — | $642 – $642 |
| 8 | Humana ppo fee schedule · both | $642 | $642 | — | — | — | $642 – $642 |
Last updated: Nov 19, 2025
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.