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Upper Extremity Socket Insert, Not Congenital/Atypical

Washington 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 July 2026.

Facilitymedian $1,585 · 10th–90th $1,072$3,7150%20%10th90th$1,585Professionalmedian $1,288 · 10th–90th $813$2,8180%20%10th90th$1,288$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
$1,000.00
Median
$1,000.00
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$6,760.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,513.56
Typical High
$1,548.82
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,122.02
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,819.70
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$1,071.52
Typical High
$1,318.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$1,584.89
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$3,090.30
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,513.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,548.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,290.87
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,348.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$2,344.23