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South Carolina 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
$4,365.16 / $10,964.78 / $20,417.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $25,118.86 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$275.42 / $275.42 / $275.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,041.74 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $16,218.10 / $32,359.37