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Missouri rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,828.24 / $1,886.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.00 / $1,463.10 / $2,574.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.35 / $2,840.62 / $12,487.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.14 / $1,489.31 / $2,188.73
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 / $1,568.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $2,180.32 / $12,771.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.49 / $1,462.14 / $2,600.30
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
$1,013.49 / $1,428.39 / $1,925.62