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Upper Extremity Addition, Flexion/Extension/Rotation Wrist

Wisconsin rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Rates data updated July 2026.

Facilitymedian $4,677 · 10th–90th $3,715$8,5110%20%40%10th90th$4,677Professionalmedian $4,266 · 10th–90th $2,291$7,7620%20%10th90th$4,266$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$7,585.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$10,715.19
Typical High
$23,442.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$6,760.83
Typical High
$8,709.64
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,801.89
Typical High
$5,754.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,466.84
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,570.88
Typical High
$21,379.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,248.07
Typical High
$9,120.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,801.89
Typical High
$5,754.40
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,466.84
Typical High
$4,570.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,918.31
Typical High
$12,022.64
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,332.54
Typical High
$21,379.62
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$6,918.31
Typical High
$23,442.29
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$4,168.69