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Wrist Disarticulation, Molded Socket, Expandable Interface

Montana rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Rates data updated July 2026.

Facilitymedian $3,311 · 10th–90th $2,455$4,1690%20%10th90th$3,311Professionalmedian $2,692 · 10th–90th $1,023$6,4570%10%20%10th90th$2,692$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,691.53
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$3,548.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,311.31
Typical High
$6,456.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,311.31
Typical High
$6,456.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,162.28
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,691.53
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,398.83
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$2,454.71