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Upper Extremity Socket Insert, without Locking Mechanism

Indiana 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 $380$8910%20%40%10th90th$813Professionalmedian $389 · 10th–90th $316$5890%20%40%10th90th$389$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
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$812.83
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$562.34