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Interscapular-Thoracic Prosthesis, Switch Control

Rhode Island rates for HCPCS L6970

Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Rates data updated October 2026.

How much does Interscapular-Thoracic Prosthesis, Switch Control cost?

$11,482

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $11,482 for this service. The price depends on where it is billed: about $10,715 from a physician practice, and about $37,154 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10,715$10,000 to $12,589
FacilityA hospital or hospital-owned outpatient department$37,154$29,512 to $42,658

How much rates vary

Facilitymedian $37,154 · 10th to 90th $23,988 to $46,774Professionalmedian $10,715 · 10th to 90th $7,943 to $16,596
$10K$20K$50Kfacility $37,154professional $10,715

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$10,964.78
Median
$12,022.64
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5,495.41
Median
$5,888.44
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,202.26
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$29,512.09
Median
$39,810.72
Typical High
$46,773.51
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$7,943.28
Median
$10,471.29
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$12,589.25
United
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
United
Setting
Professional
Modifier
None
Typical Low
$7,762.47
Median
$11,481.54
Typical High
$16,595.87

Where Rhode Island sits

The same service costs 2.5 times more in Montana than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 29th of 51

$11,482

MT $22,387FL $9,120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.