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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Hawaii rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Rates data updated October 2026.

How much does Upper Extremity Addition, Flexion/Extension/Rotation Wrist cost?

$4,786

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $4,571 to $4,898.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $2,951 to $3,548Professionalmedian $4,786 · 10th to 90th $4,365 to $4,898
$2K$5Kfacility $3,548professional $4,786

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
HMSA
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,786.30
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$4,570.88
Typical High
$5,888.44
United
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$4,897.79
Typical High
$4,897.79
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$4,265.80

Where Hawaii sits

The same service costs 2.2 times more in Montana than in Florida. 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.

Hawaii· 2nd of 51

$4,786

MT $4,786FL $2,138

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.