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Illinois rates for HCPCS 23474

Revis Shoulder Arthrplsty Humeral&Glenoid Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,221.00 / $9,691.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$4,901.47 / $4,901.47 / $4,901.47
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$890.52 / $1,654.86 / $1,835.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,869.41 / $23,250.08 / $46,558.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.07 / $2,985.55 / $8,709.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00