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
Covington, WA
See all hospitals reporting HCPCS L7403 →Price type
MultiCare Covington Medical Center’s median price of $466 is about the same as the median hospital's median price ($465), higher than 54% 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: 9 payers, 17 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 | Regence blue high performance fee schedule · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 2 | Regence mcc/ahn fee schedule · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 3 | Regence realvalue fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 4 | Regence commercial fee schedule · outpatient | $424 | $424 | — | — | — | $424 – $424 |
| 5 | Aetna medadvantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 6 | Regence medadvantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 7 | UnitedHealthcare medadvantage fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
| 8 | Molina medadvantage fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 9 | WellCare medadvantage fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 10 | Aetna all commercial plans fee schedule · outpatient | $581 | $581 | — | — | — | $581 – $581 |
| 11 | Cigna all commercial plans fee schedule · outpatient | $607 | $607 | — | — | — | $607 – $607 |
| 12 | Premera hmo fee schedule · outpatient | $661 | $661 | — | — | — | $661 – $661 |
| 13 | Premera prime fee schedule · outpatient | $763 | $763 | — | — | — | $763 – $763 |
| 14 | Premera signature fee schedule · outpatient | $763 | $763 | — | — | — | $763 – $763 |
| 15 | Ambetter coordinated care exchange fee schedule · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 16 | Premera other commercial plans fee schedule · outpatient | $932 | $932 | — | — | — | $932 – $932 |
| 17 | Kaiser ppo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Aug 27, 2026
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