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Upper Extremity Socket Insert, without Locking Mechanism

Arizona 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 $708 · 10th–90th $214$1,5490%10%10th90th$708Professionalmedian $398 · 10th–90th $288$8510%20%10th90th$398$1.0$5.0$20.0$100.0$500.0$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
$288.40
Median
$380.19
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$891.25
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,659.59
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
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$501.19
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$501.19