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Utah rates for HCPCS L6687

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

Facilitymedian $437 · 10th–90th $224–$9330%20%40%10th90th$437Professionalmedian $575 · 10th–90th $224–$3,0200%10%10th90th$575$50.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $457.09 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $457.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $676.08 / $870.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $933.25 / $933.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $812.83
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $933.25 / $933.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $933.25 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $346.74 / $537.03