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Shoulder or Interscapular-Thoracic, Ultra-Light Material

North Carolina 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?

$331

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $355 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$331$257 to $347
FacilityA hospital or hospital-owned outpatient department$355$309 to $468

How much rates vary

Facilitymedian $355 · 10th to 90th $200 to $832Professionalmedian $331 · 10th to 90th $200 to $347
$200$500$1K$2Kfacility $355professional $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
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$316.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,311.31

Where North Carolina 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.

North Carolina· 13th of 51

$331

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.