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Upper Extremity Addition, Excursion Amplifier, Pulley Type

New Mexico rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $62$2400%10%10th90th$148Professionalmedian $126 · 10th–90th $95$3550%10%10th90th$126$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
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$165.96
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$147.91