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Upper Extremity Socket Insert, with Locking Mechanism

Iowa 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 $794 · 10th–90th $525$2,2390%10%20%10th90th$794Professionalmedian $631 · 10th–90th $372$1,0960%10%20%10th90th$631$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
$426.58
Median
$707.95
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$1,380.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,174.90
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,047.13
Typical High
$1,258.93
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,513.56
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$891.25