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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Missouri rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $107$4470%20%10th90th$191Professionalmedian $123 · 10th–90th $102$2820%20%40%10th90th$123$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
$107.15
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$177.83