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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Minnesota rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Rates data updated July 2026.

How much does Upper Extremity Addition, Flexion/Extension/Rotation Wrist cost?

$4,571

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $8,128 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,571$3,802 to $4,571
FacilityA hospital or hospital-owned outpatient department$8,128$4,571 to $17,378

How much rates vary

Facilitymedian $8,128 · 10th to 90th $3,890 to $37,154Professionalmedian $4,571 · 10th to 90th $3,090 to $5,248
$10.0$100.0$1.0K$10.0Kfacility $8,128professional $4,571

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,570.88
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$17,378.01
Typical High
$46,773.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,025.60
Typical High
$6,760.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$19,054.61
Typical High
$37,153.52
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,570.88
Typical High
$21,379.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$2,691.53
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,691.53
Typical High
$6,309.57

Where Minnesota sits

The same service costs 2.3 times more in Wisconsin than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Minnesota $4,571 · 2nd of 51
WI $4,571DE $1,995

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.