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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $434 – $477 | — | — |
| Deaconess Medical Center | $434 – $477 | — | — |
| Harborview Medical Center | $443 – $487 | $534 – $542 | $762 – $775 |
| Kadlec Regional Medical Center | $443 – $531 | — | — |
| Mary Bridge Children's Hospital | $434 – $477 | — | — |
| MultiCare Auburn Medical Center | $434 – $477 | — | — |
| MultiCare Covington Medical Center | $434 – $477 | — | — |
| MultiCare Good Samaritan Hospital | $434 – $477 | — | — |
| MultiCare Valley Hospital | $447 – $477 | — | — |
| Overlake Hospital Medical Center & Clinics | $443 – $460 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $443 – $531 | — | — |
| Providence Centralia Hospital | $443 – $708 | — | — |
| Providence Regional Medical Center Everett | $443 – $487 | — | — |
| Providence St Peter Hospital | $443 – $708 | — | — |
| Seattle Children's Hospital | — | $1,043 | $1,043 |
| Swedish Edmonds Hospital | $443 – $531 | — | — |
| Swedish Issaquah | $443 – $531 | — | — |
| Swedish Medical Center | $443 – $531 | — | — |
| Swedish Medical Center / Cherry Hill | $443 – $531 | — | — |
| Tacoma General Allenmore Hospital | $434 – $477 | — | — |
| University of Washington Medical Ctr | $443 – $487 | $684 | $977 |
| Virginia Mason Medical Center | $304 – $456 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $434 – $486 | — | — |
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)