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Removal Of A Benign Upper-Arm Bone Tumor With Graft

Utah rates for HCPCS 23155

This surgery removes a benign, noncancerous cyst or tumor from the upper end of the upper-arm bone (humerus), near the shoulder, by scraping or cutting the growth out of the bone. The resulting space is then filled with bone graft material to support healing and help the bone regain strength. It is used to treat a bone growth that is causing pain, weakening the bone, or otherwise needs to be addressed.

Facilitymedian $6,026 · 10th–90th $3,162$11,2200%10%10th90th$6,026Professionalmedian $1,122 · 10th–90th $741$4,3650%10%10th90th$1,122$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$6,025.60
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,412.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$1,949.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$1,905.46
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$1,348.96