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Alabama rates for HCPCS 23474

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,639.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,397.50 / $1,397.50 / $1,397.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,442.51 / $15,062.66 / $20,264.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.00 / $4,997.00 / $9,624.00