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Nebraska rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.24 / $1,725.24 / $1,725.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.24 / $1,725.24 / $2,034.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.75 / $2,615.52 / $2,641.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $2,975.89 / $2,975.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.27 / $2,975.89 / $4,588.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.01 / $2,956.10 / $12,771.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.00 / $1,621.58 / $2,249.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,967.17 / $2,975.89 / $3,749.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.00 / $3,516.96 / $6,130.82
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
$1,030.00 / $1,450.03 / $1,874.10