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Upper Extremity Socket Insert, without Locking Mechanism

Missouri 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 $617 · 10th–90th $339$1,4130%20%10th90th$617Professionalmedian $427 · 10th–90th $339$9120%20%10th90th$427$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
$338.84
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,691.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$549.54