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Upper Extremity Socket Insert, with Locking Mechanism

Georgia 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 $871 · 10th–90th $355$3,1620%10%20%10th90th$871Professionalmedian $525 · 10th–90th $355$8510%20%10th90th$525$1.0$5.0$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
$354.81
Median
$354.81
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$3,162.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
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
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$831.76