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Upper Extremity Socket Insert, with Locking Mechanism

Maryland 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 $603 · 10th–90th $363$8510%20%40%10th90th$603Professionalmedian $447 · 10th–90th $355$6310%20%10th90th$447$500.0$1.0K$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
$354.81
Median
$446.68
Typical High
$630.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$588.84
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
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$660.69
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$724.44