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West Virginia rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.76 / $1,424.76 / $1,424.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.21 / $1,424.76 / $1,532.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.62 / $3,631.96 / $5,084.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.95 / $2,033.90 / $3,035.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $3,138.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,523.27 / $13,153.39
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
$1,419.31 / $1,743.34 / $2,415.92