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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 July 2026.

Facilitymedian $4,266 · 10th–90th $2,692$5,6230%50%10th90th$4,266Professionalmedian $3,311 · 10th–90th $2,042$5,0120%10%20%10th90th$3,311$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2,290.87
Median
$2,884.03
Typical High
$3,715.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,265.80
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,951.21
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,951.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,265.80
Typical High
$4,786.30
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$3,801.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$4,365.16
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,011.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$6,760.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,265.80
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3,019.95
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$3,090.30