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Utah rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.15 / $785.15 / $785.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.15 / $1,053.08 / $9,378.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $1,523.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,523.27 / $1,568.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.44 / $1,779.65 / $2,313.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.61 / $2,380.65 / $2,380.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.63 / $1,706.45 / $2,559.67
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
$1,098.10 / $1,216.18 / $1,954.63