go back

Upper Extremity Addition, Excursion Amplifier, Pulley Type

South Carolina rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $129 · 10th–90th $87$2630%20%10th90th$129Professionalmedian $112 · 10th–90th $87$1450%20%10th90th$112$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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$134.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$63.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$147.91