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Pennsylvania rates for HCPCS 23105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $3,830.00 / $8,240.00
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
$733.93 / $733.93 / $733.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,597.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.93 / $733.93 / $733.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.24 / $628.24 / $786.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $5,762.00 / $22,992.86