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Upper Extremity Socket Insert, with Locking Mechanism

Texas 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 $724 · 10th–90th $389$2,3990%10%20%10th90th$724Professionalmedian $427 · 10th–90th $363$7760%20%10th90th$427$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
$389.05
Median
$416.87
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$891.25
Typical High
$891.25
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
$524.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,025.60
Typical High
$6,025.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$1,174.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$724.44
Typical High
$1,174.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$616.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,202.26