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
Clarion, PA
See all hospitals reporting HCPCS L7404 →Price type
Clarion Hospital’s median price of $694 is about the same as the median hospital's median price ($701), higher than 46% 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: 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 | $655 | $655 | — | — | — | $655 – $655 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $655 | $655 | — | — | — | $655 – $655 |
| 3 | UnitedHealthcare commercial facility · fee schedule · outpatient | $655 | $655 | — | — | — | $655 – $655 |
| 4 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $655 | $655 | — | — | — | $655 – $655 |
| 5 | Aetna mcr advantage facility · fee schedule · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 6 | Devoted mcr advantage facility · fee schedule · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 7 | Aetna auto network facility · fee schedule · outpatient | $720 | $720 | — | — | — | $720 – $720 |
| 8 | Aetna commercial facility · fee schedule · outpatient | $857 | $857 | — | — | — | $857 – $857 |
| 9 | Highmark mcr advantage facility · fee schedule · outpatient | $652 | $924 | $387 | 42% | — | $648 – $1.5k |
| 10 | Highmark chip facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Aetna hmo facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jan 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.