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Virginia rates for HCPCS 23035

Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area

Facilitymedian $3,388 · 10th–90th $724–$8,7100%5%10%10th90th$3,388Professionalmedian $912 · 10th–90th $617–$1,2300%10%20%10th90th$912$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $5,128.61 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,148.15 / $1,584.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,348.96
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,025.60 / $12,882.50