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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 July 2026.

Facilitymedian $4,677 · 10th–90th $2,188$5,7540%50%10th90th$4,677Professionalmedian $2,239 · 10th–90th $1,950$3,7150%20%40%10th90th$2,239$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
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,677.35
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$4,677.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$5,888.44
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,090.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$3,235.94