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 s/d acrylic
Edina, MN
See all hospitals reporting HCPCS L7405 →Price type
Fairview Health Services’s median price of $955 is 4% above the median hospital's median price ($918), higher than 71% of the 821 hospitals reporting HCPCS L7405. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 2 | Bcbs Mn aware federal fee schedule · both | $814 | $814 | — | — | — | $814 – $814 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $829 | $829 | — | — | — | $829 – $829 |
| 4 | Medica managed medicaid/accessability fee schedule · both | $857 | $857 | — | — | — | $857 – $857 |
| 5 | Sanford Health Plan medicare advantage fee schedule · outpatient | $863 | $863 | — | — | — | $863 – $863 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $863 | $863 | — | — | — | $863 – $863 |
| 7 | WellCare medicare advantage fee schedule · outpatient | $863 | $863 | — | — | — | $863 – $863 |
| 8 | Ucare medicare advantage/msho fee schedule · outpatient | $876 | $876 | — | — | — | $876 – $876 |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $898 | $898 | — | — | — | $898 – $898 |
| 10 | Medica medicare advantage non-snp fee schedule · outpatient | $915 | $915 | — | — | — | $915 – $915 |
| 11 | Ucare pmap fee schedule · outpatient | $923 | $923 | — | — | — | $923 – $923 |
| 12 | Medica medicare advantage non-snp fee schedule · both | $930 | $930 | — | — | — | $930 – $930 |
| 13 | Bcbs Mn pmap fee schedule · both | $933 | $933 | — | — | — | $933 – $933 |
| 14 | Bcbs Mn aware federal fee schedule · outpatient | $937 | $937 | — | — | — | $937 – $937 |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $948 | $948 | — | — | — | $948 – $948 |
| 16 | Bcbs Mn aware/blue plus fee schedule · outpatient | $953 | $953 | — | — | — | $953 – $953 |
| 17 | Ucare pmap fee schedule · both | $956 | $956 | — | — | — | $956 – $956 |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Medica msho/medicare advantage snp fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Ucare individual and family with m health fairview fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Medica bold fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | UnitedHealthcare commercial fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | UnitedHealthcare core fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Medica vantage self insured fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Medica city of st. paul/essential-uplan fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Feb 6, 2026
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