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Upper Extremity Addition, Excursion Amplifier, Pulley Type

Washington rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $135$4470%20%10th90th$204Professionalmedian $170 · 10th–90th $95$3800%10%10th90th$170$2.0$10.0$50.0$200.0$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
$134.90
Median
$134.90
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$1,047.13
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$204.17
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$229.09
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$288.40
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$239.88
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$158.49
Typical High
$173.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$204.17
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$245.47
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$416.87
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$263.03
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$117.49
Typical High
$177.83