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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Oklahoma rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $123 · 10th–90th $100$2750%20%10th90th$123Professionalmedian $105 · 10th–90th $79$1450%20%10th90th$105$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
$100.00
Median
$100.00
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$114.82
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
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$190.55
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$144.54