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Upper Extremity Socket Insert, with Locking Mechanism

Oregon 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 $832 · 10th–90th $646$9120%50%10th90th$832Professionalmedian $646 · 10th–90th $380$9550%20%10th90th$646$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$794.33
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
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,778.28
Typical High
$2,137.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$933.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$954.99
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$851.14
Typical High
$891.25
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$758.58
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$3,388.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$537.03
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$758.58