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Shoulder or Interscapular-Thoracic, Acrylic Material

Utah 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?

$513

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $513 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$513$363 to $912
FacilityA hospital or hospital-owned outpatient department$513$251 to $891

How much rates vary

Facilitymedian $513 · 10th to 90th $251 to $891Professionalmedian $513 · 10th to 90th $251 to $3,715
$500$1K$2Kfacility $513professional $513

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$3,715.35
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
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$645.65
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$954.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$870.96
Typical High
$912.01
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$602.56

Where Utah 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.

Utah· 22nd of 51

$513

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.