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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $468 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 8 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$240$219 to $324
FacilityA hospital or hospital-owned outpatient department$468$372 to $525

How much rates vary

Facilitymedian $468 · 10th to 90th $224 to $776Professionalmedian $240 · 10th to 90th $209 to $479
$200$500$1Kfacility $468professional $240

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
$218.78
Median
$218.78
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$218.78
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$269.15
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$380.19
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$354.81
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$331.13
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$562.34
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$316.23

Where Ohio 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.

Ohio· 30th 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.