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Replacement Socket, Shoulder or Interscapular-Thoracic

Pennsylvania 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?

$2,042

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $1,905 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 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$1,905$1,820 to $2,570
FacilityA hospital or hospital-owned outpatient department$5,248$1,738 to $7,762

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,738 to $18,621Professionalmedian $1,905 · 10th to 90th $1,585 to $3,890
$2K$5K$10K$20K$50Kfacility $5,248professional $1,905

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
$1,737.80
Median
$1,737.80
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$3,311.31
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
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
$3,311.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$7,413.10
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$3,981.07
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$6,606.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,905.46
Typical High
$3,311.31
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$13,803.84
Typical High
$22,387.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$5,248.07
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$3,981.07

Where Pennsylvania 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.

Pennsylvania· 43rd of 51

$2,042

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.