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Upper Extremity Socket Insert, without Locking Mechanism

Oregon 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 $692 · 10th–90th $537$7410%50%10th90th$692Professionalmedian $537 · 10th–90th $316$8130%20%10th90th$537$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$660.69
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
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,479.11
Typical High
$1,778.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$776.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$812.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$741.31
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$2,818.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$457.09
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$630.96