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Upper Extremity Socket Insert, with Locking Mechanism

Vermont 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 $525$6310%50%90th$525Professionalmedian $468 · 10th–90th $457$6030%20%40%10th90th$468$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$537.03
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,905.46