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Upper Extremity Addition, Locking Wrist Disconnect Insert

Montana rates for HCPCS L6616

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

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $58$1150%20%40%10th90th$76Professionalmedian $65 · 10th–90th $25$1480%10%20%10th90th$65$50.0$100.0$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
Professional
Modifier
Global
Typical Low
$25.12
Median
$64.57
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$81.28
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$147.91
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$147.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$60.26