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Upper Extremity Socket Insert, without Locking Mechanism

Ohio 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 $832 · 10th–90th $389$1,3800%20%40%10th90th$832Professionalmedian $417 · 10th–90th $347$8510%20%10th90th$417$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
$389.05
Median
$389.05
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$1,047.13
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$851.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$602.56
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$912.01
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$549.54