go back

Washington, DC rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.63 / $839.63 / $839.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.75 / $909.34 / $8,069.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.25 / $1,204.24 / $2,234.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.72 / $1,853.05 / $1,853.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $9,894.00 / $40,126.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.59 / $1,122.78 / $2,243.54