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Upper Extremity Socket Insert, with Locking Mechanism

Oklahoma 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 $457 · 10th–90th $380$1,0720%20%10th90th$457Professionalmedian $427 · 10th–90th $331$7760%10%20%10th90th$427$200.0$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
$380.19
Median
$380.19
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$776.25
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
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$724.44
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$602.56