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Alaska rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,140.77 / $3,140.77 / $3,140.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $1,523.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,523.27 / $1,568.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.15 / $785.15 / $785.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.90 / $3,407.37 / $5,380.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.15 / $785.15 / $1,523.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,568.97 / $2,856.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.37 / $1,789.37 / $3,429.62