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Arizona rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.43 / $2,293.79 / $3,312.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.34 / $4,419.35 / $7,990.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,058.39 / $4,077.85 / $5,556.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $2,407.09 / $5,909.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $3,405.88 / $19,929.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.80 / $1,907.24 / $2,939.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.80 / $1,907.24 / $2,939.00