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Upper Extremity Addition, Removable Insert

Utah rates for HCPCS L6691

Upper extremity addition, removable insert, each

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $135$4170%20%40%10th90th$275Professionalmedian $257 · 10th–90th $135$2,3990%10%20%10th90th$257$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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$302.00
Typical High
$389.05
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$416.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$537.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$426.58
Typical High
$489.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$316.23