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Upper Extremity Socket Insert, without Locking Mechanism

South Carolina 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 $501 · 10th–90th $316$9330%20%10th90th$501Professionalmedian $355 · 10th–90th $288$5250%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
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$891.25
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
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$512.86