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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Texas rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $102$4680%10%20%10th90th$178Professionalmedian $112 · 10th–90th $93$2040%50%10th90th$112$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$97.72
Median
$102.33
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$1,905.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$295.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$295.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$147.91
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$323.59