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Maryland rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.72 / $1,424.76 / $2,323.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.00 / $1,558.00 / $1,986.23
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 / $1,111.99 / $1,523.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.90 / $2,905.57 / $4,184.02
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
$1,262.15 / $1,499.42 / $2,298.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.13 / $1,475.13 / $2,033.90