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Shoulder or Interscapular-Thoracic, Acrylic Material

Iowa 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?

$661

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $741 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$661$437 to $759
FacilityA hospital or hospital-owned outpatient department$741$646 to $1,259

How much rates vary

Facilitymedian $741 · 10th to 90th $550 to $2,188Professionalmedian $661 · 10th to 90th $380 to $1,047
$500$1K$2Kfacility $741professional $661

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,258.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,148.15
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,230.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$870.96

Where Iowa 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.

Iowa· 14th of 51

$661

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.