go back

Upper Extremity Socket Insert, with Locking Mechanism

Wisconsin 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 $977 · 10th–90th $776$1,7780%20%40%10th90th$977Professionalmedian $891 · 10th–90th $479$1,5850%20%10th90th$891$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
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,238.72
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,412.54
Typical High
$1,819.70
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,202.26
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$954.99
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$602.56
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Network Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,096.48
Typical High
$1,905.46
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,202.26
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$954.99
Quartz
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,398.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,949.84
Typical High
$4,265.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$4,570.88
Security Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$870.96