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Upper Extremity Socket Insert, without Locking Mechanism

Alaska rates for HCPCS L6695

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism

Rates data updated July 2026.

Facilitymedian $398 · 10th–90th $214$8130%20%40%10th90th$398Professionalmedian $501 · 10th–90th $380$1,1480%10%10th90th$501$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$467.74
Typical High
$812.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$2,187.76
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$812.83
Typical High
$851.14
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$794.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$537.03
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$1,621.81