go back

Upper Extremity Addition, Excursion Amplifier, Pulley Type

Nebraska rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $126$4790%20%10th90th$240Professionalmedian $102 · 10th–90th $100$1780%50%10th90th$102$50.0$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
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$275.42
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$630.96
Midlands
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$588.84
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$181.97