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Upper Extremity Socket Insert, with Locking Mechanism

Colorado 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 $676 · 10th–90th $257$1,2020%20%10th90th$676Professionalmedian $457 · 10th–90th $347$6610%20%40%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
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$891.25
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
$831.76
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$676.08
Typical High
$1,202.26
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,905.46
Select Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,698.24
Typical High
$1,949.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$616.60