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Upper Extremity Socket Insert, Not Congenital/Atypical

Tennessee 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?

$851

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $741 to $1,230.

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 $1,122 · 10th to 90th $1,122 to $1,175Professionalmedian $813 · 10th to 90th $676 to $8,128
$500$1K$2K$5K$10Kfacility $1,122professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$691.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$104.71
Typical High
$123.03
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$67.61
Median
$69.18
Typical High
$81.28
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,122.02
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$776.25
Typical High
$1,071.52

Where Tennessee 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.

Tennessee· 42nd of 51

$851

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.