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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Indiana rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $112$2510%50%10th90th$240Professionalmedian $117 · 10th–90th $93$1780%50%10th90th$117$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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$169.82