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North Carolina rates for HCPCS L6370

Interscapular Thoracic Passive Restoration (Shoulder Cap Only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.00 / $1,883.00 / $3,821.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.55 / $1,883.00 / $1,883.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,028.38 / $2,434.06 / $4,621.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.06 / $1,897.45 / $1,897.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $1,564.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,523.27 / $3,427.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.15 / $1,883.00 / $2,849.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.00 / $1,423.00 / $1,775.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,894.90 / $3,894.90 / $5,997.10
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
$969.72 / $1,262.15 / $1,925.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,985.83 / $15,439.31 / $15,439.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,140.15 / $16,140.15 / $24,377.85