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Upper Extremity Addition, Excursion Amplifier, Pulley Type

West Virginia rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Rates data updated July 2026.

Facilitymedian $110 · 10th–90th $110$2240%50%90th$110Professionalmedian $120 · 10th–90th $110$1450%20%40%10th90th$120$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$120.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$186.21