go back

Utah rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Facilitymedian $229 · 10th–90th $102$3630%20%40%10th90th$229Professionalmedian $257 · 10th–90th $102$1,5140%10%10th90th$257$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$190.55
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$263.03
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$363.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$257.04
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$371.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$269.15