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Upper Extremity Socket Insert, with Locking Mechanism

Missouri 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 $741 · 10th–90th $417$1,7380%20%10th90th$741Professionalmedian $513 · 10th–90th $389$1,0720%20%10th90th$513$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
$407.38
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$691.83