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Upper Extremity Socket Insert, with Locking Mechanism

Ohio 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 $1,000 · 10th–90th $468$1,6220%20%10th90th$1,000Professionalmedian $501 · 10th–90th $389$1,0000%20%10th90th$501$1.0$5.0$20.0$100.0$500.0$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
$467.74
Median
$467.74
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$575.44
Typical High
$1,258.93
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$724.44
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$588.84
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$549.54
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,096.48
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$660.69