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Washington 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
$1,231.88 / $7,920.26 / $30,494.41
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.97 / $19,913.50 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $8,315.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.84 / $1,432.66 / $7,292.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.08 / $1,272.33 / $1,358.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.96 / $926.34 / $6,526.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,146.66 / $20,262.22 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00