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Indiana 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
$1,905.46 / $4,897.79 / $95,499.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $40,738.03 / $63,095.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,737.80 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $17,378.01