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Shoulder or Interscapular-Thoracic, Acrylic Material

South Dakota 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?

$871

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $871 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$871$724 to $1,023
FacilityA hospital or hospital-owned outpatient department$871$646 to $1,230

How much rates vary

Facilitymedian $871 · 10th to 90th $631 to $1,738Professionalmedian $871 · 10th to 90th $676 to $1,259
$500$1K$2K$5Kfacility $871professional $871

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
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
$1,023.29
Median
$1,023.29
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$954.99
Midlands
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$1,023.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96

Where South Dakota 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.

South Dakota· 3rd of 51

$871

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.