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Montana rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,703.84 / $9,378.12 / $9,378.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $2,559.67 / $2,559.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.27 / $2,081.55 / $2,559.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.12 / $2,437.79 / $2,559.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.27 / $1,921.15 / $2,561.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.21 / $1,216.18 / $1,874.10