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Upper Extremity Socket Insert, without Locking Mechanism

Texas 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 $603 · 10th–90th $324$1,5490%10%20%10th90th$603Professionalmedian $398 · 10th–90th $295$6460%20%10th90th$398$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
$323.59
Median
$346.74
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$741.31
Typical High
$741.31
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
$562.34
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,011.87
Typical High
$5,011.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$645.65
Typical High
$1,023.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$562.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$616.60
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$512.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$1,000.00