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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Idaho rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $195 · 10th–90th $115$2570%20%10th90th$195Professionalmedian $148 · 10th–90th $93$2290%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
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$173.78
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$177.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$199.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$229.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$316.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$144.54
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$147.91