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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Idaho 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?

$3,802

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $4,266 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,715$3,020 to $4,786
FacilityA hospital or hospital-owned outpatient department$4,266$3,715 to $5,495

How much rates vary

Facilitymedian $4,266 · 10th to 90th $2,951 to $7,244Professionalmedian $3,715 · 10th to 90th $2,042 to $5,623
$100$1K$10K$100Kfacility $4,266professional $3,715

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$3,715.35
Typical High
$3,715.35
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$7,244.36
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$4,786.30
Typical High
$5,011.87
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$2,951.21
Median
$3,311.31
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,951.21
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$3,715.35
Typical High
$4,570.88
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$4,073.80
Typical High
$4,786.30
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$3,235.94
Typical High
$3,801.89
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$5,623.41
Typical High
$269,153.48
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$5,623.41
Typical High
$316,227.77
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$6,456.54
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,786.30
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,754.40
Select Health
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$4,570.88
Typical High
$4,897.79
United
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$3,090.30

Where Idaho 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.

Idaho· 13th of 51

$3,802

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.