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West Virginia 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
$1,251.95 / $1,400.00 / $1,940.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.37 / $1,502.69 / $1,637.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.92 / $1,435.92 / $1,435.92