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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Utah 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?

$2,951

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $2,951 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$2,951$2,042 to $3,388
FacilityA hospital or hospital-owned outpatient department$2,951$1,318 to $4,571

How much rates vary

Facilitymedian $2,951 · 10th to 90th $1,318 to $4,571Professionalmedian $2,951 · 10th to 90th $1,318 to $4,169
$100$200$500$1K$2K$5Kfacility $2,951professional $2,951

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
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,445.44
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
Molina
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,265.80
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$4,570.88
Typical High
$6,918.31
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Select Health
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$4,570.88
Typical High
$4,677.35
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,801.89

Where Utah 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.

Utah· 23rd of 51

$2,951

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.