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Kansas 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
$2,733.20 / $7,365.00 / $13,523.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,052.44 / $1,052.44 / $1,366.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,820.68 / $11,934.58 / $16,551.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.43 / $2,733.20 / $6,969.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,798.00 / $6,969.00 / $14,082.00