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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Montana 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?

$4,786

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $5,129 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,467$2,042 to $4,786
FacilityA hospital or hospital-owned outpatient department$5,129$4,677 to $269,153

How much rates vary

Facilitymedian $5,129 · 10th to 90th $3,548 to $275,423Professionalmedian $4,467 · 10th to 90th $79 to $5,129
$100$1K$10K$100Kfacility $5,129professional $4,467

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
$1,318.26
Median
$3,715.35
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,786.30
Typical High
$4,786.30
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$5,888.44
Typical High
$275,422.87
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$288,403.15
Providence
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$4,786.30
Typical High
$4,786.30
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,630.78
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$3,388.44

Where Montana 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.

Montana· 1st of 51

$4,786

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.