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Upper Extremity Socket Insert, with Locking Mechanism

Minnesota 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 $1,622 · 10th–90th $813$7,7620%20%10th90th$1,622Professionalmedian $955 · 10th–90th $631$1,0960%50%10th90th$955$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
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$660.69
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$954.99
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,630.78
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$1,412.54
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,981.07
Typical High
$7,762.47
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$954.99
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$537.03
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$1,318.26