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Montana rates for HCPCS 23473

Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,539.09 / $2,539.09 / $2,539.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.38 / $1,357.50 / $2,539.09