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Upper Extremity Socket Insert, without Locking Mechanism

Maryland 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 $501 · 10th–90th $302$7240%20%40%10th90th$501Professionalmedian $372 · 10th–90th $295$5250%20%10th90th$372$200.0$500.0$1.0K$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
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$524.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$489.78
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
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$501.19
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$549.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$602.56