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Pennsylvania 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
$761.29 / $3,589.00 / $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
$759.97 / $759.97 / $759.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.29 / $4,264.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.97 / $759.97 / $759.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.25 / $650.25 / $778.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00