Prosthetic arm socket liner, silicone gel insert

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Elbow socket ins use w/lock

Payers reporting HCPCS L6694

Payer pricing summary

Low

$249

Average

$1.0k

Median

$941

High

$2.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$905	$1.0k	$503	48%	—	$417 – $5.9k
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	358	$899	$900	$221	25%	—	$400 – $2.9k
3	Humana fee schedule · outpatient · +11 other terms	319	$894	$1.3k	$1.4k	108%	—	$506 – $6.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$897	$1.2k	$662	55%	—	$0 – $4.3k
5	WellCare fee schedule · outpatient · +4 other terms	208	$924	$943	$125	13%	—	$802 – $1.6k
6	Devoted fee schedule · outpatient · +3 other terms	165	$897	$899	$24	3%	—	$871 – $1.1k
7	Molina fee schedule · outpatient · +5 other terms	140	$1.3k	$1.2k	$470	38%	—	$455 – $2.3k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$915	$909	$30	3%	—	$871 – $1.1k
9	Cigna fee schedule · outpatient · +9 other terms	104	$912	$1.0k	$293	29%	—	$526 – $2.8k
10	Anthem fee schedule · outpatient · +6 other terms	80	$909	$1.3k	$1.3k	101%	—	$634 – $7.3k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$946	$1.5k	$1.0k	69%	—	$877 – $6.4k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	46	$1.4k	$1.6k	$382	24%	—	$702 – $2.2k
13	Superior Healthplan fee schedule · outpatient	40	$942	$941	$5	0%	—	$879 – $942
14	Clover fee schedule · outpatient · +2 other terms	37	$871	$871	$68	8%	—	$802 – $1.1k
15	Oscar fee schedule · outpatient · +3 other terms	36	$914	$1.1k	$260	25%	—	$879 – $1.6k
16	Optum fee schedule · outpatient · +2 other terms	33	$891	$1.2k	$471	40%	—	$860 – $2.2k
17	Caresource fee schedule · outpatient · +4 other terms	28	$871	$989	$280	28%	—	$634 – $1.5k
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$965	$920	$80	9%	—	$731 – $983
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$1.0k	$1.0k	$53	5%	—	$877 – $1.0k
20	Bcbs Tx fee schedule · outpatient	18	$879	$879	—	—	—	$879 – $879
21	Medicare fee schedule · outpatient · +3 other terms	18	$891	$894	$7	1%	—	$891 – $909
22	Tricare facility · fee schedule · outpatient · +2 other terms	16	$860	$848	$39	5%	—	$736 – $909
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$968	$1.1k	$276	25%	—	$527 – $1.5k
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.5k	$1.5k	$612	42%	—	$818 – $2.4k
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$880	$880	$205	23%	—	$428 – $1.0k

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