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Louisiana rates for HCPCS 23105

Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.09 / $7,362.58 / $14,166.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $588.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,860.00 / $12,519.00