go back

Upper Extremity Socket Insert, with Locking Mechanism

Utah 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 $525 · 10th–90th $257$9120%20%40%10th90th$525Professionalmedian $525 · 10th–90th $257$4,0740%10%10th90th$525$50.0$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
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$4,073.80
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$660.69
Typical High
$851.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$912.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$954.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$891.25
Typical High
$933.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$616.60