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Upper Extremity Socket Insert, with Locking Mechanism

New Jersey 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 $295 · 10th–90th $295$8130%50%90th$295Professionalmedian $427 · 10th–90th $316$7940%10%10th90th$427$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
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$524.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,071.52
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$794.33