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Replacement Socket, Above Elbow or Elbow Disarticulation

Montana rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Rates data updated July 2026.

Facilitymedian $2,630 · 10th–90th $2,042$3,8900%20%40%10th90th$2,630Professionalmedian $2,399 · 10th–90th $871$5,1290%10%10th90th$2,399$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$2,398.83
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,818.38
Typical High
$2,818.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$5,128.61
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$5,128.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,691.53
Typical High
$4,073.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,290.87
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$2,041.74