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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

New Hampshire 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 New Hampshire, October 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $4,571 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$2,754$2,239 to $2,754
FacilityA hospital or hospital-owned outpatient department$4,571$4,074 to $4,898

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,951 to $5,495Professionalmedian $2,754 · 10th to 90th $2,138 to $3,890
$2K$5K$10Kfacility $4,571professional $2,754

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,511.89
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$5,623.41
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
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
$2,041.74
Median
$3,890.45
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$2,238.72
Typical High
$3,630.78
Well Sense
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84

Where New Hampshire 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.

New Hampshire· 29th 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.