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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Montana 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?

$380

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $447 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 5 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$363$240 to $447
FacilityA hospital or hospital-owned outpatient department$447$347 to $479

How much rates vary

Facilitymedian $447 · 10th to 90th $309 to $550Professionalmedian $363 · 10th to 90th $129 to $871
$100$200$500$1Kfacility $447professional $363

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
$128.82
Median
$363.08
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$478.63
Typical High
$478.63
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$416.87
Typical High
$645.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$354.81
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$309.03

Where Montana 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.

Montana· 9th of 51

$380

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.