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Texas rates for HCPCS 23105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $3,682.00 / $12,377.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,359.97 / $9,032.74 / $17,826.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $588.72 / $597.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.93 / $733.93 / $733.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,634.38 / $19,913.50 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.53 / $802.84 / $1,319.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.45 / $820.84 / $1,430.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,425.00 / $11,178.00