go back

Replacement Socket, Shoulder or Interscapular-Thoracic

West 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?

$2,042

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $1,905 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$2,042$1,905 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,905$1,905 to $2,512

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,905 to $4,467Professionalmedian $2,042 · 10th to 90th $1,905 to $2,754
$2K$5K$10K$20Kfacility $1,905professional $2,042

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
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,041.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$5,754.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,888.44
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,691.53
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$3,235.94

Where West 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.

West Virginia· 44th 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.