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Replacement Socket, Shoulder or Interscapular-Thoracic

Ohio 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?

$2,754

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $5,248 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 8 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$2,570$2,399 to $3,631
FacilityA hospital or hospital-owned outpatient department$5,248$3,467 to $5,623

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,512 to $8,913Professionalmedian $2,570 · 10th to 90th $1,905 to $5,495
$2K$5K$10Kfacility $5,248professional $2,570

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
$2,511.89
Median
$2,511.89
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$3,311.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,495.41
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,090.30
Typical High
$6,760.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,630.78
Typical High
$5,128.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,801.89
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$3,548.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,467.37
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,466.84
Typical High
$6,456.54
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,888.44
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,168.69
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$3,235.94

Where Ohio 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.

Ohio· 17th of 51

$2,754

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.