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Minnesota rates for HCPCS L6370

Interscapular Thoracic Passive Restoration (Shoulder Cap Only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.02 / $2,476.02 / $2,476.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.63 / $2,146.71 / $2,476.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,532.29 / $2,956.10 / $4,116.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.88 / $2,808.30 / $2,956.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $9,120.59 / $25,331.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,427.13 / $3,632.75 / $4,352.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,414.79 / $8,750.76 / $19,946.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,427.13 / $3,427.13 / $3,526.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.70 / $2,956.10 / $12,771.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.79 / $1,358.07 / $2,968.44
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 / $1,360.64 / $3,044.78