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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Massachusetts rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $120$4790%20%10th90th$324Professionalmedian $200 · 10th–90th $100$3020%20%10th90th$200$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$316.23
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$1,174.90
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$151.36
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$302.00
Health New England
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$1,174.90
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$204.17