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Shoulder or Interscapular-Thoracic, Ultra-Light Material

New York 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 York, 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 9 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$219 to $363
FacilityA hospital or hospital-owned outpatient department$309$263 to $457

How much rates vary

Facilitymedian $309 · 10th to 90th $191 to $661Professionalmedian $245 · 10th to 90th $191 to $646
$200$1K$5K$20Kfacility $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
$162.18
Median
$213.80
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$758.58
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$363.08
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$338.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$851.14
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$323.59
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$309.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$724.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$323.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$309.03

Where New York 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 York· 28th 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.