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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
$1,865.58 / $1,865.58 / $2,152.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,809.85 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.16 / $2,610.36 / $3,396.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,809.85 / $3,297.39 / $3,297.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.16 / $3,297.39 / $3,396.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.50 / $2,873.00 / $4,419.56