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Upper Extremity Socket Insert, with Locking Mechanism

Virginia 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 $851 · 10th–90th $447$1,0960%20%40%10th90th$851Professionalmedian $468 · 10th–90th $389$8320%20%40%10th90th$468$1.0$5.0$20.0$100.0$500.0$2.0K$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
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,071.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
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
$645.65
Median
$851.14
Typical High
$1,202.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$562.34
Sentara
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$2,511.89
Sentara
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$660.69