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Upper Extremity Socket Insert, with Locking Mechanism

Nebraska 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 $912 · 10th–90th $525$1,9050%20%10th90th$912Professionalmedian $389 · 10th–90th $316$6760%20%40%10th90th$389$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
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,096.48
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$977.24
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,000.00
Typical High
$2,398.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,238.72
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$707.95