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Shoulder or Interscapular-Thoracic, Ultra-Light Material

South 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?

$447

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $447 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 7 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$447$363 to $513
FacilityA hospital or hospital-owned outpatient department$447$331 to $631

How much rates vary

Facilitymedian $447 · 10th to 90th $316 to $891Professionalmedian $447 · 10th to 90th $347 to $646
$200$500$1K$2Kfacility $447professional $447

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
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$489.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$812.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$524.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68

Where South 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.

South Dakota· 2nd of 51

$447

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.