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Replacement Socket, Shoulder or Interscapular-Thoracic

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $3,981 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$2,291$2,042 to $2,754
FacilityA hospital or hospital-owned outpatient department$3,981$2,692 to $3,981

How much rates vary

Facilitymedian $3,981 · 10th to 90th $2,042 to $5,012Professionalmedian $2,291 · 10th to 90th $1,820 to $3,802
$2K$5K$10Kfacility $3,981professional $2,291

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
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$4,897.79
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,981.07
Typical High
$5,495.41
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$2,630.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,884.03
Typical High
$5,495.41
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$2,570.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,311.31
Typical High
$8,511.38
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,311.31
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$3,019.95

Where Virginia 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.

Virginia· 28th 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.