go back

Illinois rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,471.29 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $1,621.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $3,715.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $977.24 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,495.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,584.89