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Shoulder or Interscapular-Thoracic, Ultra-Light Material

New Mexico 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?

$245

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $309 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$245$229 to $339
FacilityA hospital or hospital-owned outpatient department$309$224 to $363

How much rates vary

Facilitymedian $309 · 10th to 90th $129 to $457Professionalmedian $245 · 10th to 90th $195 to $676
$200$500$1Kfacility $309professional $245

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$416.87
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
$234.42
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$316.23
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$302.00

Where New Mexico 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.

New Mexico· 29th of 51

$245

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.