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Upper Extremity Addition, Removable Insert

Washington rates for HCPCS L6691

Upper extremity addition, removable insert, each

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $309$1,0000%20%10th90th$479Professionalmedian $398 · 10th–90th $209$8130%10%20%10th90th$398$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
$309.03
Median
$309.03
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$2,398.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$478.63
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$588.84
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$363.08
Typical High
$398.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$478.63
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$478.63
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$954.99
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$467.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$416.87