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
PO-ADD UE PROST BE ACRYLIC
Edison, NJ
See all hospitals reporting HCPCS L7403 →Price type
Hmh Hospitals Corporation’s median price of $350 is 25% below the median hospital's median price ($465), higher than 7% 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, 13 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 4 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 5 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 6 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $306 | $306 | — | — | — | $306 – $306 |
| 7 | WellCare managed medicaid facility · fee schedule · outpatient | $343 | $343 | — | — | — | $343 – $343 |
| 8 | Aetna asa facility · fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 9 | Aetna hmo facility · fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 10 | Aetna ppo facility · fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 11 | UnitedHealthcare all products facility · percent of total billed charges · inpatientfrom % of charges | $384 | $384 | — | — | — | $384 – $384 |
| 12 | MultiPlan all products facility · percent of total billed charges · inpatientfrom % of charges | $466 | $466 | — | — | — | $466 – $466 |
| 13 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $466 | $466 | — | — | — | $466 – $466 |
Last updated: Dec 31, 2025
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