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Upper Extremity Socket Insert, with Locking Mechanism

Illinois 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 $977 · 10th–90th $468$4,8980%20%10th90th$977Professionalmedian $692 · 10th–90th $417$9770%20%10th90th$692$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
$467.74
Median
$467.74
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,288.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$831.76