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Shoulder or Interscapular-Thoracic, Acrylic Material

New Mexico 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?

$490

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $603 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$490$447 to $661
FacilityA hospital or hospital-owned outpatient department$603$437 to $724

How much rates vary

Facilitymedian $603 · 10th to 90th $251 to $912Professionalmedian $490 · 10th to 90th $389 to $1,318
$50$100$200$500$1K$2Kfacility $603professional $490

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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$630.96
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$602.56

Where New Mexico 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.

New Mexico· 26th of 51

$490

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.