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Virginia 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
$1,206.08 / $5,087.00 / $10,767.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,203.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.57 / $1,301.21 / $1,530.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.78 / $1,429.67 / $2,012.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.83 / $1,399.39 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00