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Replacement Socket, Shoulder or Interscapular-Thoracic

New York 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?

$2,344

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $2,754 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 9 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$2,344$1,905 to $3,311
FacilityA hospital or hospital-owned outpatient department$2,754$2,188 to $3,890

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,660 to $5,888Professionalmedian $2,344 · 10th to 90th $1,660 to $5,888
$2K$5K$10Kfacility $2,754professional $2,344

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
$1,412.54
Median
$1,905.46
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$6,760.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,162.28
Typical High
$3,162.28
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$3,388.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,456.54
Typical High
$15,135.61
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$7,413.10
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,884.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,454.71
Typical High
$2,754.23
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,235.94
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,951.21
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,570.40
Typical High
$6,456.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$2,884.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,454.71
Typical High
$2,754.23

Where New York 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.

New York· 27th of 51

$2,344

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.