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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Connecticut 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?

$219

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $316 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$219$191 to $257
FacilityA hospital or hospital-owned outpatient department$316$302 to $447

How much rates vary

Facilitymedian $316 · 10th to 90th $263 to $447Professionalmedian $219 · 10th to 90th $191 to $427
$200$500$1Kfacility $316professional $219

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
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$489.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$363.08

Where Connecticut 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.

Connecticut· 46th of 51

$219

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.