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Pennsylvania 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
$1,177.83 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.92 / $1,435.92 / $1,435.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.81 / $7,503.81 / $7,503.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,780.15 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.92 / $1,435.92 / $1,435.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.06 / $1,238.06 / $1,406.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00