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Maryland rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.40 / $1,803.21 / $3,467.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.00 / $2,060.81 / $2,513.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $2,293.31 / $3,141.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.15 / $3,677.35 / $5,295.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.91 / $1,926.25 / $2,909.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.96 / $2,203.96 / $2,574.15