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Ohio rates for HCPCS 23472

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

Facilitymedian $8,913 · 10th–90th $2,188$25,7040%10%10th90th$8,913Professionalmedian $1,514 · 10th–90th $240$3,2360%10%20%10th90th$1,514$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$2,187.76 / $8,912.51 / $25,703.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,995.26 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$186.21 / $323.59 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $1,258.93 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $8,317.64 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,737.80 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$186.21 / $245.47 / $371.54
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,513.56 / $1,778.28
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,778.28 / $2,344.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,819.70 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,290.87 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,995.26 / $2,884.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,585.78 / $26,302.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,905.46 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $263.03
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $21,379.62
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,659.59 / $2,818.38
SummaCare
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $13,803.84 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,659.59 / $2,630.27
United
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09