HCPCS L7403
Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material
Current code24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $381 – $2,959 | — | — |
| Deaconess Medical Center | $530 – $1,842 | — | — |
| Harborview Medical Center | $708 – $885 | $534 – $542 | $762 – $775 |
| Kadlec Regional Medical Center | $667 – $1,243 | — | — |
| Mary Bridge Children's Hospital | $381 – $3,248 | — | — |
| MultiCare Auburn Medical Center | $371 – $1,912 | — | — |
| MultiCare Covington Medical Center | $371 – $1,912 | — | — |
| MultiCare Good Samaritan Hospital | $430 – $1,912 | — | — |
| MultiCare Valley Hospital | $424 – $1,838 | — | — |
| Overlake Hospital Medical Center & Clinics | $406 – $1,218 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $685 – $1,468 | — | — |
| Providence Centralia Hospital | $748 – $1,655 | — | — |
| Providence Regional Medical Center Everett | $531 – $1,027 | — | — |
| Providence St Peter Hospital | $376 – $1,445 | — | — |
| Seattle Children's Hospital | $563 – $1,001 | $1,043 | $1,043 |
| Swedish Edmonds Hospital | $664 – $1,624 | — | — |
| Swedish Issaquah | $664 – $983 | — | — |
| Swedish Medical Center | $664 – $1,581 | — | — |
| Swedish Medical Center / Cherry Hill | $664 – $1,581 | — | — |
| Tacoma General Allenmore Hospital | $371 – $1,912 | — | — |
| University of Washington Medical Ctr | $708 – $1,388 | $684 | $977 |
| Virginia Mason Medical Center | $424 – $1,539 | — | — |
| Wellfound Behavioral Health Hospital | $1,117 | — | — |
| Yakima Valley Memorial | $381 – $1,148 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $443 (fee)