Upper Extremity Socket Insert, Not Congenital/Atypical
New Hampshire rates for HCPCS L6697
Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than 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 October 2026.
How much does Upper Extremity Socket Insert, Not Congenital/Atypical cost?
$955
Typical negotiated rate. In New Hampshire, October 2026.
Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,585 from a hospital or other facility.
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 6 insurance carriers under federal price transparency rules.
Prices by location type
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$955
$813 to $977
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$1,585
$1,445 to $1,738
How much rates vary
Facilitymedian $1,585 · 10th to 90th $1,122 to $1,905Professionalmedian $955 · 10th to 90th $776 to $1,349
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$870.96
Typical High
$870.96
Professional
None
$676.08
$870.96
$870.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,698.24
Typical High
$1,949.84
Facility
None
$1,445.44
$1,698.24
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$977.24
Professional
None
$954.99
$954.99
$977.24
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Professional
RR · Rental
$95.50
$95.50
$95.50
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Professional
UE · Used equipment
$707.95
$707.95
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,202.26
Facility
None
$1,122.02
$1,122.02
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,122.02
Professional
None
$812.83
$812.83
$1,122.02
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,348.96
Typical High
$2,238.72
Professional
None
$707.95
$1,348.96
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$776.25
Typical High
$1,258.93
Professional
None
$512.86
$776.25
$1,258.93
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Facility
None
$1,548.82
$1,548.82
$1,548.82
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$131.83
Typical High
$131.83
Professional
55 · Aftercare only
$102.33
$131.83
$131.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$67.61
Median
$87.10
Typical High
$87.10
Professional
56 · Pre-op care only
$67.61
$87.10
$87.10
Where New Hampshire sits
The same service costs 2.1 times more in Montana than in West Virginia. 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.