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Replacement Socket, Shoulder or Interscapular-Thoracic

Kentucky rates for HCPCS L6885

Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power

Rates data updated July 2026.

How much does Replacement Socket, Shoulder or Interscapular-Thoracic cost?

$2,291

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,884 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 6 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$2,291$2,042 to $2,512
FacilityA hospital or hospital-owned outpatient department$2,884$1,995 to $4,571

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,995 to $5,888Professionalmedian $2,291 · 10th to 90th $1,862 to $2,884
$2K$5K$10K$20Kfacility $2,884professional $2,291

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
$1,995.26
Median
$1,995.26
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,691.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,265.80
Typical High
$4,570.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$2,570.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,754.40
Typical High
$7,413.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,248.07
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,888.44
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$20,892.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,884.03
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$2,951.21

Where Kentucky sits

The same service costs 4.5 times more in Hawaii than in Nebraska. 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.

Kentucky· 31st of 51

$2,291

HI $7,413NE $1,660

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.