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Upper Extremity Addition, Excursion Amplifier, Pulley Type

New Hampshire rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $234 · 10th–90th $129$2820%20%10th90th$234Professionalmedian $155 · 10th–90th $112$2000%20%10th90th$155$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
$128.82
Median
$128.82
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$131.83
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$199.53
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$323.59