go back

Upper Extremity Addition, Excursion Amplifier, Pulley Type

Minnesota rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $407 · 10th–90th $200$1,9500%20%10th90th$407Professionalmedian $234 · 10th–90th $141$2750%50%10th90th$234$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
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$891.25
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$346.74
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,949.84
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$125.89
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$323.59