go back

Upper Extremity Socket Insert, without Locking Mechanism

Illinois 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 $813 · 10th–90th $389$4,0740%20%10th90th$813Professionalmedian $513 · 10th–90th $347$8130%20%10th90th$513$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
$389.05
Median
$389.05
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$5,495.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,122.02
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$691.83