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Upper Extremity Socket Insert, with Locking Mechanism

Kansas 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 $631 · 10th–90th $257$9120%20%10th90th$631Professionalmedian $741 · 10th–90th $398$7410%50%10th$741$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
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$467.74
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$660.69
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
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$630.96
Typical High
$2,137.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$630.96