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Minnesota rates for HCPCS 23473

Revis Shoulder Arthrplsty Humeral/Glenoid Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.54 / $1,576.54 / $8,860.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$788.27 / $788.27 / $788.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,498.83 / $23,112.06 / $46,771.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,814.33 / $5,411.99 / $13,019.26
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,440.27 / $1,440.27 / $1,440.27
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$180.03 / $180.03 / $180.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.57 / $4,947.85 / $10,251.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.61 / $2,955.16 / $9,793.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,251.39 / $3,251.39 / $3,251.39
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$406.42 / $406.42 / $406.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,572.00 / $8,689.00 / $12,381.00