go back

Frame Type Socket, Below Elbow/Wrist Disarticulation

Virginia rates for HCPCS L6687

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

Rates data updated July 2026.

Facilitymedian $708 · 10th–90th $363$8910%20%40%10th90th$708Professionalmedian $380 · 10th–90th $316$6920%20%40%10th90th$380$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$363.08
Median
$363.08
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$870.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$691.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$457.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,513.56
Sentara
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$512.86
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$549.54