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Upper Extremity Socket Insert, with Locking Mechanism

North Carolina 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 $661 · 10th–90th $355$1,5140%20%10th90th$661Professionalmedian $631 · 10th–90th $380$6460%50%10th90th$631$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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$630.96
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$724.44
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
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$436.52
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$691.83
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$616.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$6,025.60