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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Michigan 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?

$257

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $550 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$257$229 to $447
FacilityA hospital or hospital-owned outpatient department$550$263 to $1,202

How much rates vary

Facilitymedian $550 · 10th to 90th $257 to $1,820Professionalmedian $257 · 10th to 90th $214 to $447
$10$100$1Kfacility $550professional $257

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
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,348.96
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$467.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
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
$316.23
Typical High
$489.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$851.14
Typical High
$954.99
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$549.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$316.23

Where Michigan 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.

Michigan· 24th of 51

$257

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.