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Shoulder or Interscapular-Thoracic, Acrylic Material

Nebraska 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?

$389

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $891 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 6 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$389$389 to $468
FacilityA hospital or hospital-owned outpatient department$891$603 to $977

How much rates vary

Facilitymedian $891 · 10th to 90th $562 to $1,778Professionalmedian $389 · 10th to 90th $339 to $661
$500$1K$2Kfacility $891professional $389

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
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Midlands
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,187.76
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$676.08

Where Nebraska 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.

Nebraska· 50th of 51

$389

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.