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Upper Extremity Socket Insert, without Locking Mechanism

Oklahoma 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 $380 · 10th–90th $316$8910%20%10th90th$380Professionalmedian $355 · 10th–90th $275$5130%10%20%10th90th$355$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
$316.23
Median
$316.23
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
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
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$501.19