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Wisconsin rates for HCPCS 23472

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

Facilitymedian $14,791 · 10th–90th $5,248–$37,1540%10%10th90th$14,791Professionalmedian $1,905 · 10th–90th $316–$7,0790%10%10th90th$1,905$1.0$10.0$100.0$1.0K$10.0K$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
$2,344.23 / $13,182.57 / $38,018.94
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,691.53 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$181.97 / $426.58 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,884.03 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$199.53 / $407.38 / $1,096.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,778.28 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,265.80 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $5,754.40 / $6,606.93
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,235.94 / $10,471.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,388.44 / $4,365.16
DeanCare
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$354.81 / $478.63 / $616.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $5,888.44 / $22,387.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,818.38 / $10,715.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $12,882.50 / $27,542.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,467.37 / $6,025.60
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,090.30 / $4,570.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $56,234.13 / $83,176.38
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $6,918.31 / $10,471.29
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,570.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,943.28 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $18,197.01 / $28,840.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,548.13 / $8,511.38