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Shoulder or Interscapular-Thoracic, Acrylic Material

Hawaii rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Rates data updated July 2026.

How much does Shoulder or Interscapular-Thoracic, Acrylic Material cost?

$871

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $603 to $871.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $617 · 10th to 90th $513 to $676Professionalmedian $871 · 10th to 90th $316 to $871
$500$1Kfacility $617professional $871

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$316.23
Median
$316.23
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,071.52
HMSA
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$524.81
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$1,071.52

Where Hawaii sits

The same service costs 2.3 times more in Wisconsin than in Delaware. 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.

Hawaii· 4th of 51

$871

WI $891DE $380

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.