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Upper Extremity Socket Insert, with Locking Mechanism

New Hampshire 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 $955 · 10th–90th $537$1,1750%20%10th90th$955Professionalmedian $631 · 10th–90th $389$8320%20%10th90th$631$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
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$524.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$831.76
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,348.96