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Upper Extremity Socket Insert, with Locking Mechanism

Indiana 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 $447$1,0720%50%10th90th$977Professionalmedian $468 · 10th–90th $380$7080%20%40%10th90th$468$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
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$977.24
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$676.08