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Vermont rates for HCPCS 23472

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

Professionalmedian $1,514 · 10th–90th $195–$3,5480%20%10th90th$1,514$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $3,090.30 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$186.21 / $371.54 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,995.26 / $2,884.03
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,995.26 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,041.74 / $3,467.37