go back

Shoulder or Interscapular-Thoracic, Ultra-Light Material

West Virginia 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 West Virginia, 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 $214 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$214 to $234
FacilityA hospital or hospital-owned outpatient department$214$214 to $263

How much rates vary

Facilitymedian $214 · 10th to 90th $214 to $457Professionalmedian $229 · 10th to 90th $214 to $302
$200$500$1K$2Kfacility $214professional $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
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$234.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$363.08

Where West Virginia 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.

West Virginia· 40th 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.