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Frame Type Socket, Below Elbow/Wrist Disarticulation

Utah rates for HCPCS L6687

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

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $224$9330%20%40%10th90th$347Professionalmedian $479 · 10th–90th $224$3,0200%10%20%10th90th$479$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$676.08
Typical High
$870.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$933.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$812.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$891.25
Typical High
$933.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$537.03