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
Covington, WA
See all hospitals reporting HCPCS L7404 →Price type
MultiCare Covington Medical Center’s median price of $704 is about the same as the median hospital's median price ($701), higher than 54% of the 826 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: 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 | $560 | $560 | — | — | — | $560 – $560 |
| 2 | Regence mcc/ahn fee schedule · outpatient | $560 | $560 | — | — | — | $560 – $560 |
| 3 | Regence realvalue fee schedule · outpatient | $576 | $576 | — | — | — | $576 – $576 |
| 4 | Regence commercial fee schedule · outpatient | $640 | $640 | — | — | — | $640 – $640 |
| 5 | Aetna medadvantage fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 6 | Regence medadvantage fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 7 | UnitedHealthcare medadvantage fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
| 8 | Molina medadvantage fee schedule · outpatient | $687 | $687 | — | — | — | $687 – $687 |
| 9 | WellCare medadvantage fee schedule · outpatient | $687 | $687 | — | — | — | $687 – $687 |
| 10 | Aetna all commercial plans fee schedule · outpatient | $878 | $878 | — | — | — | $878 – $878 |
| 11 | Cigna all commercial plans fee schedule · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 12 | Premera hmo fee schedule · outpatient | $997 | $997 | — | — | — | $997 – $997 |
| 13 | Premera prime fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Premera signature fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Ambetter coordinated care exchange fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Premera other commercial plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Kaiser ppo fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
Last updated: Aug 27, 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.