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Shoulder or Interscapular-Thoracic, Ultra-Light Material

Rhode Island 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?

$229

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $794 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 4 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$229$195 to $257
FacilityA hospital or hospital-owned outpatient department$794$550 to $933

How much rates vary

Facilitymedian $794 · 10th to 90th $309 to $1,023Professionalmedian $229 · 10th to 90th $191 to $302
$200$500$1K$2Kfacility $794professional $229

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$213.80
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$380.19
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
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$363.08

Where Rhode Island 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.

Rhode Island· 39th of 51

$229

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.