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Missouri rates for HCPCS 23473

Revis Shoulder Arthrplsty Humeral/Glenoid Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,560.00 / $15,136.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$678.75 / $678.75 / $964.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $5,617.00 / $16,513.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.00 / $10,814.00 / $10,814.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.63 / $2,519.91 / $38,731.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,251.39 / $3,251.39 / $38,006.16
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$406.42 / $406.42 / $4,750.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,039.00 / $38,731.00