Policy library / L6884 Commercial payer policies listing L6884 7 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Surest (UnitedHealthcare) policies listing L6884, with the code’s status in each Policy Effective Status of L6884 Upper Extremity Prosthetic Devices PayerPolicy · SUREST-POL-SUREST-upper-extremity-prosthetic-devices Apr 1, 2026 Covered
UMR (UnitedHealthcare) policies listing L6884, with the code’s status in each Policy Effective Status of L6884 Upper Extremity Prosthetic Devices PayerPolicy · UMR-POL-UMR-upper-extremity-prosthetic-devices Apr 1, 2026 Covered
UnitedHealthcare policies listing L6884, with the code’s status in each Policy Effective Status of L6884 Upper Extremity Prosthetic Devices PayerPolicy · UHC-POL-upper-extremity-prosthetic-devices Apr 1, 2026 Covered