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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Washington rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Rates data updated July 2026.

Facilitymedian $4,467 · 10th–90th $2,951$10,7150%10%20%10th90th$4,467Professionalmedian $3,715 · 10th–90th $2,138$7,9430%20%10th90th$3,715$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$19,498.45
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$4,466.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,951.21
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,025.60
Typical High
$12,589.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,248.07
Typical High
$9,332.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$3,090.30
Typical High
$3,715.35
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,365.16
Typical High
$4,466.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,760.83
Typical High
$8,912.51
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,365.16
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,466.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$3,890.45
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,754.23
Typical High
$3,890.45