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Maine 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 / $1,693.63 / $1,693.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.55 / $2,897.65 / $5,371.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.31 / $1,555.65 / $1,887.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $1,848.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,111.99 / $1,523.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.02 / $2,036.02 / $2,036.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.92 / $1,693.63 / $1,693.63
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
$836.36 / $1,262.15 / $2,885.05