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Upper Extremity Socket Insert, without Locking Mechanism

Kansas 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 $603 · 10th–90th $214$7590%20%40%10th90th$603Professionalmedian $692 · 10th–90th $339$6920%50%10th$692$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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$524.81
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$537.03