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Upper Extremity Socket Insert, Congenital/Atypical Amputee

Hawaii rates for HCPCS L6696

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L6694 or L6695)

Rates data updated July 2026.

How much does Upper Extremity Socket Insert, Congenital/Atypical Amputee cost?

$1,585

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $1,585 for this service. Most negotiated rates run $955 to $1,585.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $955 · 10th to 90th $891 to $1,230Professionalmedian $1,585 · 10th to 90th $575 to $1,660
$1K$2Kfacility $955professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$1,949.84
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$954.99
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,949.84

Where Hawaii sits

The same service costs 2.3 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 1st of 51

$1,585

HI $1,585NE $692

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.