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Vermont rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,311.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,715.35 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $7,943.28