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Upper Extremity Socket Insert, with Locking Mechanism

Washington 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 $871 · 10th–90th $562$2,1380%20%10th90th$871Professionalmedian $708 · 10th–90th $398$1,5850%10%20%10th90th$708$10.0$50.0$200.0$1.0K$5.0K

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
$562.34
Median
$562.34
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$4,073.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$851.14
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$954.99
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,202.26
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,000.00
Typical High
$1,862.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$588.84
Typical High
$724.44
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
$616.60
Median
$616.60
Typical High
$616.60
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$1,737.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$851.14
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$1,318.26