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Upper Extremity Socket Insert, without Locking Mechanism

New Hampshire 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 $813 · 10th–90th $447$9770%20%40%10th90th$813Professionalmedian $537 · 10th–90th $347$6920%20%10th90th$537$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
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$436.52
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
$562.34
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$478.63
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$691.83
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02