go back

Frame Type Socket, Below Elbow/Wrist Disarticulation

New Hampshire rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Rates data updated July 2026.

Facilitymedian $708 · 10th–90th $389$8510%20%40%10th90th$708Professionalmedian $468 · 10th–90th $309$6030%20%10th90th$468$200.0$500.0$1.0K$2.0K

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
$389.05
Median
$389.05
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$478.63
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$602.56
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,000.00