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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Indiana 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?

$2,754

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $4,169 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,754$2,291 to $3,467
FacilityA hospital or hospital-owned outpatient department$4,169$3,631 to $4,677

How much rates vary

Facilitymedian $4,169 · 10th to 90th $2,754 to $6,761Professionalmedian $2,754 · 10th to 90th $2,138 to $4,677
$50$200$1K$5K$20Kfacility $4,169professional $2,754

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
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$4,677.35
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$4,677.35
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$275.42
Median
$275.42
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,818.38
CareSource
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$3,235.94
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$22,387.21
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$6,760.83
Typical High
$14,454.40
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$3,890.45
Typical High
$6,456.54
United
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$3,801.89

Where Indiana 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.

Indiana· 30th of 51

$2,754

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.