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Upper Extremity Socket Insert, with Locking Mechanism

North Dakota 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 $661$1,1220%50%90th$661Professionalmedian $851 · 10th–90th $479$1,1220%20%10th90th$851$500.0$1.0K$2.0K$5.0K

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
$660.69
Median
$660.69
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,096.48
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$794.33
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$616.60
Typical High
$1,122.02