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South Carolina rates for HCPCS L6370

Interscapular Thoracic Passive Restoration (Shoulder Cap Only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.77 / $1,131.77 / $1,131.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.77 / $1,131.77 / $1,883.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.00 / $1,846.98 / $2,681.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.70 / $1,523.27 / $1,681.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,521.39 / $1,523.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.80 / $1,813.00 / $3,973.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.00 / $1,423.00 / $1,529.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.55 / $1,709.55 / $1,709.55
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
$841.43 / $1,250.89 / $1,832.42