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Upper Extremity Addition, Rotation Wrist with Cable Lock

Wisconsin rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $525$1,1750%50%10th90th$646Professionalmedian $603 · 10th–90th $316$1,0960%10%20%10th90th$603$1.0$5.0$20.0$100.0$500.0$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
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,513.56
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$933.25
Typical High
$1,230.27
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$812.83
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$645.65
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Network Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,288.25
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$812.83
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$645.65
Typical High
$851.14
Quartz
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,905.46
Quartz
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,318.26
Typical High
$3,467.37
Quartz
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$977.24
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$616.60