go back

Vermont rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,621.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,995.26 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,380.38 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,548.82 / $4,265.80