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Revision Surgery for a Shoulder Replacement

Washington, DC rates for HCPCS 23474

Redoes a previous total shoulder replacement, taking out artificial parts that have worn, loosened, become infected or sit badly, and fitting new ones. Bone lost around the old implant may be rebuilt with donor bone. It is longer and more demanding than the first replacement, because scar tissue and weakened bone have to be dealt with before new parts can be seated.

Facilitymedian $5,370 · 10th–90th $1,778$7,7620%10%10th90th$5,370Professionalmedian $3,548 · 10th–90th $1,622$3,9810%20%40%10th90th$3,548$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,370.32
Typical High
$7,079.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$3,548.13
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$19,054.61
Typical High
$63,095.73