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Upper Extremity Addition, Removable Insert

Texas rates for HCPCS L6691

Upper extremity addition, removable insert, each

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $182$1,0720%10%20%10th90th$339Professionalmedian $229 · 10th–90th $182$3630%20%10th90th$229$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$181.97
Median
$194.98
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$3,311.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$575.44