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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Iowa rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $200 · 10th–90th $126$5370%10%20%10th90th$200Professionalmedian $148 · 10th–90th $83$2750%10%20%10th90th$148$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
$114.82
Median
$181.97
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$275.42
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$302.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$234.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$234.42