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Frame Type Socket, Below Elbow/Wrist Disarticulation

Wisconsin rates for HCPCS L6687

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

Rates data updated July 2026.

Facilitymedian $708 · 10th–90th $537$1,2880%50%10th90th$708Professionalmedian $661 · 10th–90th $347$1,1750%20%10th90th$661$1.0$5.0$20.0$100.0$500.0$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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,621.81
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,023.29
Typical High
$1,348.96
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$870.96
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$691.83
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$251.19
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Network Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,380.38
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$870.96
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$2,089.30
Quartz
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,445.44
Typical High
$3,715.35
Quartz
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,047.13
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$707.95