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Upper Extremity Socket Insert, without Locking Mechanism

Colorado 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 $562 · 10th–90th $214$1,0000%20%10th90th$562Professionalmedian $380 · 10th–90th $288$5500%20%40%10th90th$380$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
$380.19
Median
$380.19
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$758.58
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
$691.83
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$575.44
Typical High
$1,000.00
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,698.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$1,621.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$501.19
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$512.86