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Upper Extremity Socket Insert, without Locking Mechanism

Louisiana 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 $417$1,3180%20%10th90th$603Professionalmedian $407 · 10th–90th $295$6030%20%10th90th$407$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
$416.87
Median
$416.87
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$512.86