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Upper Extremity Addition, Latex Suspension Sleeve

Utah rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $25$1050%20%40%10th90th$40Professionalmedian $56 · 10th–90th $25$3390%10%20%10th90th$56$20.0$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
$33.88
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$97.72
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$104.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$93.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$107.15
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$60.26