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Indiana rates for HCPCS L6310

Shoulder Disarticulation Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.17 / $2,311.17 / $4,856.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.02 / $2,311.17 / $2,403.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,836.52 / $4,346.43 / $4,856.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.55 / $2,225.15 / $3,070.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,281.92 / $5,099.17 / $6,798.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,127.89 / $5,341.99 / $6,556.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $4,856.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $3,141.52 / $4,886.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.39 / $2,422.78 / $3,102.13