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Illinois rates for HCPCS 23335

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,884.03 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $10,964.78 / $28,183.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,398.83 / $5,888.44
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $8,912.51