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Upper Extremity Socket Insert, with Locking Mechanism

Idaho 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 $813 · 10th–90th $525$1,0720%20%40%10th90th$813Professionalmedian $661 · 10th–90th $389$9550%20%10th90th$661$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
$446.68
Median
$562.34
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$524.81
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$724.44
Typical High
$977.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$741.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$831.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$954.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$602.56
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$616.60