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Replacement Socket, Shoulder or Interscapular-Thoracic

Montana 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?

$3,715

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $3,715 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 5 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$3,548$2,344 to $4,169
FacilityA hospital or hospital-owned outpatient department$3,715$3,162 to $3,981

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,884 to $5,248Professionalmedian $3,548 · 10th to 90th $1,230 to $7,244
$100$500$2K$10Kfacility $3,715professional $3,548

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
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$3,548.13
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,981.07
Typical High
$3,981.07
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,715.35
Typical High
$7,244.36
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,715.35
Typical High
$7,244.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,890.45
Typical High
$5,495.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,311.31
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,884.03
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,905.46
Typical High
$2,951.21

Where Montana 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.

Montana· 7th of 51

$3,715

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.