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West Virginia rates for HCPCS 23105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.20 / $982.69 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.27 / $761.03 / $829.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.93 / $733.93 / $733.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,028.63 / $20,028.63 / $20,028.63