go back

Upper Extremity Socket Insert, without Locking Mechanism

Georgia 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 $724 · 10th–90th $295$2,6920%10%20%10th90th$724Professionalmedian $437 · 10th–90th $295$7080%10%20%10th90th$437$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$295.12
Median
$295.12
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,737.80
Typical High
$2,691.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
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
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$691.83