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Interscapular Thoracic, Passive Restoration, Shoulder Cap

Wisconsin rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Rates data updated July 2026.

Facilitymedian $3,020 · 10th–90th $2,291$5,4950%20%40%10th90th$3,020Professionalmedian $2,818 · 10th–90th $1,479$4,8980%20%10th90th$2,818$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,818.38
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$6,918.31
Typical High
$15,488.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$4,365.16
Typical High
$5,754.40
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,454.71
Typical High
$3,715.35
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,951.21
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,951.21
Typical High
$12,882.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$1,096.48
Network Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,388.44
Typical High
$5,888.44
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,454.71
Typical High
$3,715.35
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,951.21
Typical High
$3,235.94
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,570.88
Typical High
$7,244.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$6,165.95
Typical High
$12,882.50
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$4,466.84
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,630.27