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Nebraska rates for HCPCS 23105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,349.44 / $9,666.52 / $18,698.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.99 / $1,025.48 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.00 / $1,553.00 / $6,616.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $8,816.00 / $10,575.11