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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Colorado rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

How much does Shoulder or Interscapular-Thoracic, Ultra-Light Material cost?

$224

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $339 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$224$200 to $245
FacilityA hospital or hospital-owned outpatient department$339$224 to $457

How much rates vary

Facilitymedian $339 · 10th to 90th $129 to $617Professionalmedian $224 · 10th to 90th $191 to $339
$200$500$1Kfacility $339professional $224

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
$223.87
Median
$223.87
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$416.87
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$338.84
Typical High
$616.60
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$954.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$302.00

Where Colorado sits

The same service costs 3.0 times more in Kansas 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.

Colorado· 45th of 51

$224

KS $589DE $195

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.