go back

Upper Extremity Socket Insert, with Locking Mechanism

Alaska rates for HCPCS L6694

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $257$9770%20%40%10th90th$479Professionalmedian $603 · 10th–90th $447$1,3800%20%10th90th$603$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,288.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$562.34
Typical High
$977.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$2,630.27
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,023.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$524.81
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$1,949.84