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Upper Extremity Socket Insert, without Locking Mechanism

Idaho 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 $676 · 10th–90th $437$9770%20%40%10th90th$676Professionalmedian $550 · 10th–90th $331$8130%10%20%10th90th$550$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$602.56
Typical High
$812.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$616.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$691.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$812.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$1,096.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$501.19
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$512.86