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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Kentucky 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 Kentucky, 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 $302 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$224$214 to $240
FacilityA hospital or hospital-owned outpatient department$302$214 to $479

How much rates vary

Facilitymedian $302 · 10th to 90th $214 to $631Professionalmedian $224 · 10th to 90th $195 to $316
$200$500$1Kfacility $302professional $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
$213.80
Median
$213.80
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$794.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$309.03

Where Kentucky 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.

Kentucky· 43rd 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.