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Upper Extremity Addition, Locking Wrist Disconnect Insert

Indiana rates for HCPCS L6616

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

Rates data updated July 2026.

Facilitymedian $79 · 10th–90th $37$980%20%40%10th90th$79Professionalmedian $44 · 10th–90th $37$690%20%40%10th90th$44$0.1$0.5$2.0$10.0$50.0$200.0

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
$37.15
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$81.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$38.90
Typical High
$60.26