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North Carolina rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.89 / $3,146.89 / $6,386.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.43 / $3,146.89 / $3,146.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,851.71 / $6,271.68 / $7,723.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,409.98 / $3,171.02 / $3,171.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,615.37 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $5,909.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $3,146.89 / $4,761.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.00 / $2,377.00 / $2,967.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,578.00 / $4,578.00 / $7,053.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.60 / $2,109.32 / $3,058.52
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,510.84 / $24,212.22 / $24,212.22
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,788.33 / $30,788.33 / $30,788.33