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 s/d acrylic
Grayling, MI
See all hospitals reporting HCPCS L7405 →Price type
Munson Healthcare Grayling’s median price of $1.1k is 16% above the median hospital's median price ($918), higher than 78% of the 821 hospitals reporting HCPCS L7405. 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 | $420 | $420 | — | — | — | $420 – $420 |
| 2 | Aetna commercial professional · fee schedule · both | $551 | $551 | — | — | — | $551 – $551 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $570 | $570 | — | — | — | $570 – $570 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Apr 17, 2026
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