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Wrist Disarticulation, Molded Socket, Expandable Interface

Utah rates for HCPCS L6055

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

Rates data updated July 2026.

Facilitymedian $1,950 · 10th–90th $1,023$3,3880%20%40%10th90th$1,950Professionalmedian $2,089 · 10th–90th $1,023$16,9820%10%10th90th$2,089$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
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,454.71
Typical High
$3,235.94
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,388.44
Typical High
$3,388.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$4,365.16
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,467.37
Typical High
$3,981.07
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,467.37
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,089.30
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,454.71