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Upper Extremity Addition, Disconnect Locking Wrist Unit

Washington rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $166$5130%20%10th90th$257Professionalmedian $214 · 10th–90th $117$4070%10%10th90th$214$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
$165.96
Median
$165.96
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$954.99
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$257.04
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$309.03
Typical High
$724.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$194.98
Typical High
$218.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$257.04
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$281.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$512.86
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$199.53
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$223.87