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Replacement Socket, Shoulder or Interscapular-Thoracic

Rhode Island 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?

$1,995

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $6,918 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 4 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$1,995$1,698 to $2,399
FacilityA hospital or hospital-owned outpatient department$6,918$5,248 to $8,128

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,951 to $8,913Professionalmedian $1,995 · 10th to 90th $1,660 to $2,884
$2K$5K$10K$20Kfacility $6,918professional $1,995

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,585.78
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,398.83
Typical High
$3,162.28

Where Rhode Island 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.

Rhode Island· 47th of 51

$1,995

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.