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Upper Extremity Socket Insert, without Locking Mechanism

Minnesota 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 $1,380 · 10th–90th $676$6,4570%20%10th90th$1,380Professionalmedian $794 · 10th–90th $525$9120%50%10th90th$794$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
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$549.54
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$794.33
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,174.90
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$6,456.54
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$794.33
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$446.68
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$1,096.48