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
Grayling, MI
See all hospitals reporting HCPCS L7404 →Price type
Munson Healthcare Grayling’s median price of $815 is 16% above the median hospital's median price ($701), higher than 80% of the 822 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: 6 payers, 12 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 | UnitedHealthcare commercial professional · fee schedule · both | $321 | $321 | — | — | — | $321 – $321 |
| 2 | Aetna commercial professional · fee schedule · both | $422 | $422 | — | — | — | $422 – $422 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $436 | $436 | — | — | — | $436 – $436 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $772 | $772 | — | — | — | $772 – $772 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
Last updated: Apr 17, 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.