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Pennsylvania rates for HCPCS 23397

Muscle transfer, any type, shoulder or upper arm; multiple

Facilitymedian $6,918 · 10th–90th $1,445–$11,2200%10%10th90th$6,918Professionalmedian $1,175 · 10th–90th $1,023–$2,2390%50%10th90th$1,175$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $7,244.36 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,174.90 / $1,995.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,380.38 / $2,238.72
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,659.59 / $2,137.96
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,380.38 / $1,949.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,174.90 / $2,290.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,737.80 / $2,454.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,258.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,318.26 / $2,290.87