HCPCS Code: L7404
Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$532.00) after the $283 annual deductible. Your 20% coinsurance: ~$133.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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About Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404)
HCPCS code L7404 is the Medicare and insurance billing code for Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Prosthetic devices replace missing limbs or body parts, restoring function and improving quality of life after amputation. Modern prosthetics range from basic cosmetic devices to advanced microprocessor-controlled limbs with natural movement patterns.
Many patients find that purchasing DME items like upper extremity prosthetic, above elbow, acrylic (l7404) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code L7404?
HCPCS code L7404 is the Medicare and insurance billing code for Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404) cost?
The typical private insurance price for Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404) is $1,330.00. If paying cash without insurance, expect to pay around $2,340.00. The estimated Medicare Allowed Amount is $665.00. The same or equivalent product is available on Amazon for approximately $702.00.
How much does Medicare pay for Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404)?
The estimated Medicare Allowed Amount for Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404) is $665.00. Under Original Medicare Part B, Medicare covers 80% (approximately $532.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $133.00. Medicare Advantage plan costs vary.
Can I buy Upper Extremity Prosthetic, Above Elbow, Acrylic (L7404) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code L7404 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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