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Shoulder Tumor Removal With Bone Graft

West Virginia rates for HCPCS 23156

This removes a tumor from the upper end of the arm bone near the shoulder, along with the affected bone, and rebuilds the missing section using a piece of donor bone (an allograft) rather than the patient's own tissue. It's used when a tumor has damaged enough bone that reconstruction is needed to restore the arm's structure and function. This is a more involved reconstruction than simply scraping out the tumor and leaving the bone otherwise intact.

Rates data updated July 2026.

Facilitymedian $661 · 10th–90th $661$2,6300%50%90th$661Professionalmedian $724 · 10th–90th $617$9770%20%40%10th90th$724$500.0$1.0K$2.0K$5.0K$10.0K$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
$660.69
Median
$660.69
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$870.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,235.94
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$1,096.48