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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Michigan rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $263 · 10th–90th $126$9550%20%10th90th$263Professionalmedian $135 · 10th–90th $102$2340%20%10th90th$135$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$707.95
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
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
$125.89
Typical High
$239.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$446.68
Typical High
$501.19
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$288.40
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$158.49