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North Dakota rates for HCPCS L6370

Interscapular Thoracic Passive Restoration (Shoulder Cap Only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.60 / $1,773.60 / $1,773.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.60 / $2,476.02 / $2,476.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.33 / $2,694.98 / $2,762.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,427.13 / $3,461.40 / $4,352.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.92 / $2,049.23 / $12,771.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.18 / $1,824.27 / $2,026.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.79 / $1,228.97 / $2,026.97