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Michigan rates for HCPCS 23105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.35 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.97 / $6,237.04 / $8,450.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.49 / $820.35 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $15,078.00