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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Arizona rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $65$4790%10%10th90th$204Professionalmedian $110 · 10th–90th $83$2630%20%10th90th$110$0.2$1.0$5.0$20.0$100.0$500.0

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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$269.15
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$162.18
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$144.54