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Upper Extremity Addition, Removable Insert

Alaska rates for HCPCS L6691

Upper extremity addition, removable insert, each

Rates data updated October 2026.

How much does Upper Extremity Addition, Removable Insert cost?

$550

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $490 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$355 to $550
FacilityA hospital or hospital-owned outpatient department$490$275 to $550

How much rates vary

Facilitymedian $490 · 10th to 90th $275 to $575Professionalmedian $550 · 10th to 90th $251 to $575
$100$200$500$1Kfacility $490professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$549.54
Typical High
$707.95
Moda Health
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$549.54
Typical High
$575.44
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$575.44
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$549.54
Typical High
$562.34
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$467.74
Median
$549.54
Typical High
$549.54
Providence
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$275.42
Typical High
$602.56
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$275.42
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$281.84
Typical High
$1,148.15

Where Alaska sits

The same service costs 2.9 times more in Hawaii than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 2nd of 51

$550

HI $617FL $214

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.