go back

Shoulder or Interscapular-Thoracic, Ultra-Light Material

North Dakota 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?

$417

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $331 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$427$331 to $501
FacilityA hospital or hospital-owned outpatient department$331$331 to $372

How much rates vary

Facilitymedian $331 · 10th to 90th $331 to $562Professionalmedian $427 · 10th to 90th $240 to $550
$200$500$1K$2Kfacility $331professional $427

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
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$524.81

Where North Dakota 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 Dakota· 6th of 51

$417

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.