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Upper Extremity Addition, Locking Wrist Disconnect Insert

Utah rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $25$780%20%40%10th90th$39Professionalmedian $48 · 10th–90th $25$3390%10%20%10th90th$48$50.0$100.0$200.0

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
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$43.65
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$72.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$104.71
Select Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$95.50
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$58.88