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Hawaii rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.47 / $1,194.47 / $1,194.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,046.78 / $3,046.78 / $3,046.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $4,218.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,835.25 / $4,015.97 / $4,015.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,301.15 / $3,835.25 / $5,369.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.09 / $3,046.78 / $4,218.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.29 / $3,089.44 / $3,650.45