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Upper Extremity Socket Insert, with Locking Mechanism

Arizona 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 $851 · 10th–90th $257$1,8620%10%10th90th$851Professionalmedian $457 · 10th–90th $347$1,0230%20%10th90th$457$1.0$5.0$20.0$100.0$500.0$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
$346.74
Median
$457.09
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,071.52
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,995.26
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
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$602.56
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$602.56