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
Spokane, WA
See all hospitals reporting HCPCS L7403 →Price type
MultiCare Deaconess Hospital’s median price of $530 is 14% above the median hospital's median price ($465), higher than 78% 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: 10 payers, 14 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 | Aetna medadvantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 2 | Bcbs Id medadvantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 3 | Regence medadvantage fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 4 | UnitedHealthcare medadvantage fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
| 5 | Molina medadvantage fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 6 | WellCare medadvantage fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 7 | Premera other commercial plans fee schedule · outpatient | $530 | $530 | — | — | — | $530 – $530 |
| 8 | Premera prime fee schedule · outpatient | $530 | $530 | — | — | — | $530 – $530 |
| 9 | Premera signature fee schedule · outpatient | $530 | $530 | — | — | — | $530 – $530 |
| 10 | Cigna commercial fee schedule · outpatient | $607 | $607 | — | — | — | $607 – $607 |
| 11 | Premera hmo fee schedule · outpatient | $661 | $661 | — | — | — | $661 – $661 |
| 12 | Ambetter coordinated care exchange fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 13 | Aetna all commercial plans fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Kaiser ppo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Aug 27, 2026
See Below-elbow prosthesis add-on, acrylic material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.