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Upper Extremity Socket Insert, without Locking Mechanism

New Mexico 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 $513 · 10th–90th $214$8130%10%20%10th90th$513Professionalmedian $407 · 10th–90th $355$1,0960%20%10th90th$407$100.0$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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$676.08
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
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$524.81
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$512.86