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Upper Extremity Socket Insert, Not Congenital/Atypical

New Mexico 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?

$1,072

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,122 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 byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$813 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,122$457 to $1,122

How much rates vary

Facilitymedian $1,122 · 10th to 90th $457 to $1,230Professionalmedian $1,072 · 10th to 90th $676 to $1,585
$500$1K$2Kfacility $1,122professional $1,072

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,202.26
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,288.25
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$2,398.83
Providence
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$1,096.48
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,949.84
United
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$707.95
Typical High
$1,096.48

Where New Mexico 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.

New Mexico· 23rd of 51

$1,072

MT $1,698WV $813

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.