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New York rates for HCPCS 23107

Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.77 / $4,648.00 / $11,080.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.25 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.97 / $759.97 / $759.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $755.04 / $1,789.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.20 / $629.20 / $629.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $759.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.98 / $802.98 / $3,059.19