go back

Maine rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,454.71 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,137.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,348.96 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,548.82 / $2,187.76