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Pennsylvania rates for HCPCS L6621

Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device

Rates data updated July 2026.

How much does HCPCS L6621 cost?

$1,349

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $4,677 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$1,202 to $1,738
FacilityA hospital or hospital-owned outpatient department$4,677$1,288 to $8,511

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,202 to $13,183Professionalmedian $1,318 · 10th to 90th $1,096 to $2,692
$1K$2K$5K$10K$20K$50Kfacility $4,677professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$2,089.30
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$5,248.07
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,905.46
Typical High
$2,754.23
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$4,677.35
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$2,089.30
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$9,772.37
Typical High
$15,488.17
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$2,818.38

Where Pennsylvania sits

The same service costs 2.3 times more in Wisconsin than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 46th of 51

$1,349

WI $2,754DE $1,202

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.