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Upper Extremity Socket Insert, without Locking Mechanism

Delaware 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 $501 · 10th–90th $1$5620%50%10th90th$501Professionalmedian $316 · 10th–90th $288$3,0200%20%10th90th$316$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$316.23
Typical High
$3,019.95
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
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$436.52
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$524.81