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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Michigan 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?

$3,467

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $8,128 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,311$2,570 to $4,571
FacilityA hospital or hospital-owned outpatient department$8,128$2,951 to $14,125

How much rates vary

Facilitymedian $8,128 · 10th to 90th $2,951 to $19,953Professionalmedian $3,311 · 10th to 90th $2,188 to $4,677
$2K$5K$10K$20Kfacility $8,128professional $3,311

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
$2,570.40
Median
$2,570.40
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$4,570.88
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$13,489.63
Typical High
$25,703.96
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,570.88
Typical High
$4,570.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$5,011.87
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$8,912.51
Typical High
$9,549.93
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$3,630.78
Typical High
$4,677.35
Priority Health
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Priority Health
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,570.88
United
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$5,495.41
Typical High
$6,606.93
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,187.76
Typical High
$3,090.30
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Michigan
Setting
Professional
Modifier
RR · Rental
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88

Where Michigan 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.

Michigan· 17th of 51

$3,467

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.