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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Utah rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $62$1950%20%40%10th90th$120Professionalmedian $120 · 10th–90th $62$1,0470%10%10th90th$120$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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
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
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$141.25
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$194.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$229.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Select Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$208.93
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$147.91