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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
$1,258.93 / $1,258.93 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,754.40 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $10,715.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,365.16 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,344.23 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,248.07 / $9,332.54