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Upper Extremity Socket Insert, without Locking Mechanism

Virginia 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 $724 · 10th–90th $372$9120%20%40%10th90th$724Professionalmedian $398 · 10th–90th $331$6920%20%10th90th$398$1.0$5.0$20.0$100.0$500.0$2.0K$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
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$891.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
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
$537.03
Median
$724.44
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$478.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$512.86
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$467.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$2,089.30
Sentara
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$549.54