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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Hawaii 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?

$447

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $302 to $447.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $263 to $347Professionalmedian $447 · 10th to 90th $162 to $447
$200$500facility $316professional $447

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
$162.18
Median
$162.18
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$549.54
HMSA
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$549.54

Where Hawaii 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.

Hawaii· 4th of 51

$447

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.