go back

Pennsylvania rates for HCPCS 01634

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $707.95 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $1,071.52
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $870.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $812.83 / $1,445.44
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $758.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $676.08 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $707.95 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $22.39 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $79.43