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Minnesota 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
$1,246.61 / $1,246.61 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.76 / $5,302.71 / $10,544.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,024.70 / $4,291.60 / $10,324.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.72 / $3,923.56 / $8,129.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.76 / $2,166.76 / $3,667.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00