go back

Shoulder or Interscapular-Thoracic, Ultra-Light Material

Idaho 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?

$363

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $427 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 8 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$331$240 to $427
FacilityA hospital or hospital-owned outpatient department$427$339 to $447

How much rates vary

Facilitymedian $427 · 10th to 90th $275 to $550Professionalmedian $331 · 10th to 90th $200 to $490
$200$500$1Kfacility $427professional $331

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
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$316.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$407.38
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$380.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$426.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$489.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$676.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$302.00
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$309.03

Where Idaho 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.

Idaho· 11th of 51

$363

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.