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Upper Extremity Socket Insert, without Locking Mechanism

California 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 $389 · 10th–90th $302$1,7780%20%10th90th$389Professionalmedian $407 · 10th–90th $302$3,3880%20%10th90th$407$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
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$912.01
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,230.27
Typical High
$1,905.46
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$741.31
Typical High
$2,041.74
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
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,230.27
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,011.87
Typical High
$5,011.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$724.44
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$691.83
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$446.68
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$831.76