Wrist flexion/extension add-on for upper limb orthosis

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Flexion/extension wrist unit

Payers reporting HCPCS L6620

Payer pricing summary

Low

$121

Average

$495

Median

$453

High

$949

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +12 other terms	361	$408	$476	$241	51%	—	$180 – $2.7k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$403	$398	$114	29%	—	$144 – $1.4k
3	Humana fee schedule · outpatient · +12 other terms	319	$403	$604	$662	110%	—	$241 – $3.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$411	$559	$324	58%	—	$0 – $2.0k
5	WellCare fee schedule · outpatient · +5 other terms	208	$423	$427	$59	14%	—	$364 – $724
6	Devoted fee schedule · outpatient · +3 other terms	165	$411	$407	$19	5%	—	$375 – $505
7	Molina fee schedule · outpatient · +7 other terms	139	$596	$571	$216	38%	—	$207 – $1.1k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$410	$410	$14	3%	—	$375 – $509
9	Cigna fee schedule · outpatient · +11 other terms	102	$408	$462	$141	31%	—	$368 – $1.4k
10	Anthem fee schedule · outpatient · +8 other terms	80	$408	$586	$622	106%	—	$282 – $3.5k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$425	$684	$480	70%	—	$400 – $3.0k
12	Superior Healthplan fee schedule · outpatient	40	$431	$431	$2	0%	—	$403 – $431
13	Clover fee schedule · outpatient · +3 other terms	37	$375	$389	$30	8%	—	$364 – $495
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$760	$757	$150	20%	—	$335 – $938
15	Oscar fee schedule · outpatient · +4 other terms	36	$402	$483	$139	29%	—	$394 – $795
16	Optum fee schedule · outpatient · +3 other terms	33	$400	$536	$219	41%	—	$375 – $1.0k
17	Caresource fee schedule · outpatient · +5 other terms	28	$375	$445	$146	33%	—	$282 – $713
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$472	$429	$113	26%	—	$154 – $774
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$433	$417	$30	7%	—	$342 – $441
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$450	$441	$16	4%	—	$402 – $450
21	Bcbs Tx fee schedule · outpatient	18	$403	$403	—	—	—	$403 – $403
22	Medicare fee schedule · outpatient · +3 other terms	18	$400	$402	$3	1%	—	$400 – $408
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$461	$529	$132	25%	—	$251 – $729
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$419	$419	$98	23%	—	$204 – $491
25	Wellmark fee schedule · both · +3 other terms	13	$446	$444	$18	4%	—	$336 – $446

Page 1 of 3 · 53 payers