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Pennsylvania rates for HCPCS 23040

Arthrotomy Glenohumeral Jt Expl/Drg/Rmvl Fb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.63 / $817.63 / $817.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.31 / $81.31 / $81.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.63 / $817.63 / $817.63
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.31 / $81.31 / $81.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.88 / $704.88 / $781.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.00 / $3,311.00 / $6,000.00