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New Jersey rates for HCPCS 23472

Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))

Facilitymedian $10,471 · 10th–90th $3,467–$25,7040%10%10th90th$10,471Professionalmedian $1,660 · 10th–90th $380–$6,1660%20%10th90th$1,660$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$3,388.44 / $10,471.29 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,905.46 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$194.98 / $371.54 / $562.34
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $14,791.08 / $23,988.33
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,089.30 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,041.74 / $4,677.35
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,621.81 / $2,238.72
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $23,442.29 / $79,432.82
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,737.80 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $10,471.29 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,548.82 / $4,073.80