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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Montana rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $132$2750%20%40%10th90th$191Professionalmedian $162 · 10th–90th $62$3720%10%10th90th$162$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$61.66
Median
$162.18
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$204.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$371.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$147.91