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Upper Extremity Addition, Removable Insert

Wisconsin rates for HCPCS L6691

Upper extremity addition, removable insert, each

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $347$7940%50%10th90th$437Professionalmedian $398 · 10th–90th $214$7240%20%10th90th$398$0.5$2.0$10.0$50.0$200.0$1.0K

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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,000.00
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$630.96
Typical High
$812.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$537.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$426.58
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$120.23
Network Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Network Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$851.14
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$537.03
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$549.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,230.27
Quartz
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$870.96
Typical High
$2,290.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$645.65
Typical High
$2,691.53
Security Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$407.38