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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Missouri 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 Missouri, October 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $3,802 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$2,692$2,188 to $3,090
FacilityA hospital or hospital-owned outpatient department$3,802$2,951 to $15,849

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,344 to $21,380Professionalmedian $2,692 · 10th to 90th $2,089 to $4,467
$2K$5K$10K$20Kfacility $3,802professional $2,692

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
$2,089.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,090.30
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$21,379.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$3,162.28
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$4,570.88
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
Medica
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$4,265.80
Typical High
$21,379.62
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$22,908.68
United
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$3,235.94
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
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$275.42
Median
$275.42
Typical High
$2,754.23

Where Missouri 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.

Missouri· 31st 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.