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Maryland rates for HCPCS L6360

Interscapular Thoracic Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.36 / $1,892.51 / $3,146.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.00 / $2,069.00 / $2,638.31
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 / $3,297.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,701.64 / $3,859.48 / $5,557.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.15 / $1,991.68 / $3,053.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.32 / $2,313.32 / $2,701.64