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Upper Extremity Socket Insert, without Locking Mechanism

Iowa 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 $661 · 10th–90th $468$1,8620%20%10th90th$661Professionalmedian $525 · 10th–90th $309$9550%20%10th90th$525$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
$363.08
Median
$588.84
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$977.24
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,047.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$758.58
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$794.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$741.31