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Idaho rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.65 / $2,049.23 / $2,703.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $2,038.68
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 / $1,717.19 / $2,437.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.01 / $2,315.90 / $2,437.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,799.08 / $2,142.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.61 / $2,380.65 / $3,570.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.45 / $1,706.45 / $2,559.67
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
$1,124.46 / $1,216.18 / $1,889.10