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Indiana rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.83 / $1,406.83 / $2,956.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.17 / $1,424.76 / $1,463.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,335.32 / $2,645.71 / $2,956.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.14 / $1,489.31 / $2,055.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.44 / $3,162.41 / $4,138.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,512.69 / $3,251.71 / $3,990.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $2,956.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,523.27 / $2,975.89
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
$810.79 / $1,474.76 / $1,975.18