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Replacement Socket, Shoulder or Interscapular-Thoracic

South Dakota 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?

$4,266

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $3,890 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 7 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$4,266$3,631 to $5,495
FacilityA hospital or hospital-owned outpatient department$3,890$3,162 to $5,370

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,754 to $7,413Professionalmedian $4,266 · 10th to 90th $3,020 to $7,413
$2K$5K$10K$20Kfacility $3,890professional $4,266

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
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,265.80
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,951.21
Typical High
$30,199.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,265.80
Typical High
$4,265.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$6,918.31
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,801.89
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,884.03
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,951.21
Typical High
$6,025.60
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where South Dakota 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.

South Dakota· 5th of 51

$4,266

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.