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Upper Extremity Socket Insert, with Locking Mechanism

New Mexico 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 $617 · 10th–90th $257$9550%10%10th90th$617Professionalmedian $490 · 10th–90th $398$1,3180%20%10th90th$490$100.0$200.0$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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$812.83
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
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$616.60
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$616.60