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Upper Extremity Addition, Rotation Wrist with Cable Lock

South Dakota rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $468$1,2590%10%20%10th90th$646Professionalmedian $617 · 10th–90th $501$9330%10%20%10th90th$617$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$489.78
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$707.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,148.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$741.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96