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 ultlite mat
Edina, MN
See all hospitals reporting HCPCS L7401 →Price type
Fairview Health Services’s median price of $451 is 4% above the median hospital's median price ($433), higher than 73% of the 821 hospitals reporting HCPCS L7401. 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, 33 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 | Bcbs Mn pmap fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 2 | Bcbs Mn aware federal fee schedule · both | $384 | $384 | — | — | — | $384 – $384 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $391 | $391 | — | — | — | $391 – $391 |
| 4 | Medica managed medicaid/accessability fee schedule · both | $404 | $404 | — | — | — | $404 – $404 |
| 5 | Sanford Health Plan medicare advantage fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 7 | WellCare medicare advantage fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 8 | Ucare medicare advantage/msho fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $424 | $424 | — | — | — | $424 – $424 |
| 10 | Medica medicare advantage non-snp fee schedule · outpatient | $432 | $432 | — | — | — | $432 – $432 |
| 11 | Ucare pmap fee schedule · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 12 | Medica medicare advantage non-snp fee schedule · both | $439 | $439 | — | — | — | $439 – $439 |
| 13 | Bcbs Mn pmap fee schedule · both | $441 | $441 | — | — | — | $441 – $441 |
| 14 | Bcbs Mn aware federal fee schedule · outpatient | $442 | $442 | — | — | — | $442 – $442 |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $447 | $447 | — | — | — | $447 – $447 |
| 16 | Bcbs Mn aware/blue plus fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 17 | Ucare pmap fee schedule · both | $451 | $451 | — | — | — | $451 – $451 |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 19 | Medica msho/medicare advantage snp fee schedule · outpatient | $538 | $538 | — | — | — | $538 – $538 |
| 20 | Ucare individual and family with m health fairview fee schedule · outpatient | $725 | $725 | — | — | — | $725 – $725 |
| 21 | Medica bold fee schedule · both | $763 | $763 | — | — | — | $763 – $763 |
| 22 | UnitedHealthcare commercial fee schedule · both | $769 | $769 | — | — | — | $769 – $769 |
| 23 | UnitedHealthcare core fee schedule · both | $769 | $769 | — | — | — | $769 – $769 |
| 24 | Medica vantage self insured fee schedule · both | $826 | $826 | — | — | — | $826 – $826 |
| 25 | Medica city of st. paul/essential-uplan fee schedule · both | $847 | $847 | — | — | — | $847 – $847 |
Last updated: Feb 6, 2026
See Upper arm prosthesis addition, ultralight material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.