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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Maine 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 Maine, October 2026.

Insurers have agreed to pay about $2,754 for this service. Most negotiated rates run $2,239 to $3,890.

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 $5,623 · 10th to 90th $4,365 to $10,715Professionalmedian $2,754 · 10th to 90th $2,089 to $3,890
$2K$5K$10Kfacility $5,623professional $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
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$3,019.95
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$5,623.41
Typical High
$10,715.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$275.42
Median
$275.42
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,951.21
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$3,890.45
Typical High
$5,128.61
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$6,165.95

Where Maine 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.

Maine· 32nd 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.