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Shoulder or Interscapular-Thoracic, Acrylic Material

Idaho 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?

$708

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $813 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 8 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$646$468 to $832
FacilityA hospital or hospital-owned outpatient department$813$661 to $871

How much rates vary

Facilitymedian $813 · 10th to 90th $525 to $1,072Professionalmedian $646 · 10th to 90th $389 to $955
$500$1Kfacility $813professional $646

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
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$812.83
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$794.33
Typical High
$912.01
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$741.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$831.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$954.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$588.84
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$602.56

Where Idaho 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.

Idaho· 11th of 51

$708

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.