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Upper Extremity Socket Insert, without Locking Mechanism

Michigan 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 $912 · 10th–90th $447$3,1620%10%20%10th90th$912Professionalmedian $447 · 10th–90th $347$7940%20%10th90th$447$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
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,398.83
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$831.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
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
$562.34
Typical High
$831.76
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,513.56
Typical High
$1,698.24
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$977.24
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$524.81