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
Clarion, PA
See all hospitals reporting HCPCS L7403 →Price type
Clarion Hospital’s median price of $460 is about the same as the median hospital's median price ($465), higher than 46% 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, 11 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 | Cigna commercial facility · fee schedule · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 3 | UnitedHealthcare commercial facility · fee schedule · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 4 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 5 | Aetna mcr advantage facility · fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 6 | Devoted mcr advantage facility · fee schedule · outpatient | $460 | $460 | — | — | — | $460 – $460 |
| 7 | Aetna auto network facility · fee schedule · outpatient | $477 | $477 | — | — | — | $477 – $477 |
| 8 | Aetna commercial facility · fee schedule · outpatient | $568 | $568 | — | — | — | $568 – $568 |
| 9 | Highmark mcr advantage facility · fee schedule · outpatient | $432 | $612 | $256 | 42% | — | $430 – $974 |
| 10 | Highmark chip facility · fee schedule · outpatient | $720 | $720 | — | — | — | $720 – $720 |
| 11 | Aetna hmo facility · fee schedule · outpatient | $998 | $998 | — | — | — | $998 – $998 |
Last updated: Jan 1, 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.