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Upper Extremity Socket Insert, with Locking Mechanism

Montana 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 $891 · 10th–90th $562$1,1220%20%40%10th90th$891Professionalmedian $759 · 10th–90th $257$1,7380%10%20%10th90th$759$100.0$200.0$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
$257.04
Median
$724.44
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$954.99
Typical High
$954.99
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,737.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$851.14
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$724.44
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$616.60