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Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism cost in Ohio

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Cash from
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Cash range · 0 distinct prices
$260
Insurer rates from
17
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
LUTHERAN HOSPITALCleveland—$260Jun 2026123 days old
Fairview HospitalCleveland—$273Jun 2026123 days old
The Cleveland Clinic FoundationBrunswick—$333Jun 2026122 days old
Metrohealth SystemCleveland—$439Apr 2026198 days old
Berger HospitalCircleville—$806Apr 2026198 days old
Dayton Osteopathic HospitalDayton—$806Apr 2026198 days old
The Good Samaritan Hospital of Cincinnati, OHCincinnati—$806Apr 2026198 days old
Riverside Methodist HospitalColumbus—$806Apr 2026198 days old
Bethesda Hospital Inc.Lebanon—$806Apr 2026198 days old
Kettering Medical Center 2 locations · one published priceDayton, Miamisburg—$806Apr 2026198 days old
Beavercreek Medical CenterDayton—$806Apr 2026198 days old
Fort Hamilton HospitalHamilton—$806Apr 2026198 days old
Clinton Memorial HospitalWilmington—$806Apr 2026198 days old
Marion General HospitalMarion—$806Apr 2026198 days old
Greene Memorial Hospital IncXenia—$806Apr 2026198 days old
McCullough-Hyde Memorial Hospital, Inc.Oxford—$806Apr 2026198 days old
Where this procedure name comes from

This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.

What the hospitals published for this code, in their own words:

  • Beavercreek Medical CenterElbow socket ins use w/o lck
  • Berger HospitalElbow socket ins use w/o lck
  • Bethesda Hospital Inc.Elbow socket ins use w/o lck
  • Clinton Memorial HospitalElbow socket ins use w/o lck
  • Dayton Osteopathic HospitalElbow socket ins use w/o lck
  • Fairview HospitalElbow socket ins use w/o lck
  • Fort Hamilton HospitalElbow socket ins use w/o lck
  • Greene Memorial Hospital IncElbow socket ins use w/o lck
  • HEART HOSP OF AUSTINAddition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech
  • HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKAddition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech

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