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Pennsylvania rates for HCPCS 23334

Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.91 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.74 / $1,203.74 / $1,203.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,998.00 / $6,998.00 / $36,997.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.74 / $1,203.74 / $1,203.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.14 / $1,034.14 / $1,178.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00