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Nebraska rates for HCPCS 23473

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,982.44 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,630.27 / $19,054.61
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,235.94 / $38,018.94 / $38,018.94
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$407.38 / $4,786.30 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,715.35 / $5,011.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $8,912.51 / $16,982.44