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Upper Extremity Socket Insert, with Locking Mechanism

Massachusetts 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 $851 · 10th–90th $417$4,5710%20%10th90th$851Professionalmedian $813 · 10th–90th $417$1,2590%20%40%10th90th$813$1.0$10.0$100.0$1.0K$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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$1,318.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$4,570.88
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$776.25
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,096.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,258.93
Health New England
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$4,570.88
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$776.25
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$616.60
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$794.33
Typical High
$831.76