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Georgia rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.90 / $1,053.90 / $2,985.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.90 / $1,491.24 / $1,688.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.92 / $3,541.90 / $9,284.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.79 / $2,103.58 / $4,038.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.44 / $2,512.69 / $4,680.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.44 / $2,150.44 / $2,150.44
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 / $3,257.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.75 / $2,529.92 / $4,429.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.58 / $1,624.58 / $1,624.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.43 / $1,262.15 / $2,103.58