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Upper Extremity Addition, Rotation Wrist with Cable Lock

Montana rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $468$1,0000%20%40%10th90th$617Professionalmedian $617 · 10th–90th $204$1,2020%10%20%10th90th$617$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$204.17
Median
$616.60
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$676.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$1,202.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$501.19
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$316.23
Typical High
$489.78