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Virginia 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
$1,737.80 / $7,079.46 / $28,183.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $30,199.52 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,737.80 / $2,041.74
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
$1,479.11 / $2,041.74 / $3,162.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $16,218.10 / $38,904.51