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Upper Extremity Addition, Locking Wrist Disconnect Insert

California rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $35$1950%20%10th90th$45Professionalmedian $47 · 10th–90th $36$3390%10%20%10th90th$47$0.1$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
$46.77
Median
$46.77
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$102.33
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$190.55
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$131.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$77.62
Typical High
$104.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$51.29
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$85.11