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Upper Extremity Socket Insert, without Locking Mechanism

New Jersey 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 $245 · 10th–90th $245$6760%50%90th$245Professionalmedian $380 · 10th–90th $263$6610%10%10th90th$380$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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$891.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$645.65