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Idaho rates for HCPCS 23474

Revis Shoulder Arthrplsty Humeral&Glenoid Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,206.72 / $4,500.00 / $14,771.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.79 / $2,814.85 / $4,242.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,703.82 / $18,472.14 / $30,479.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00