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Shoulder or Interscapular-Thoracic, Acrylic Material

Nevada 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?

$437

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $275 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$457$380 to $692
FacilityA hospital or hospital-owned outpatient department$275$275 to $631

How much rates vary

Facilitymedian $275 · 10th to 90th $275 to $871Professionalmedian $457 · 10th to 90th $275 to $1,230
$500$1K$2Kfacility $275professional $457

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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$1,479.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$512.86
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$954.99

Where Nevada 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.

Nevada· 47th of 51

$437

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.