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Louisiana 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
$860.00 / $2,562.00 / $5,432.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,101.28 / $1,148.35 / $1,937.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,257.94 / $26,894.41 / $49,162.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,517.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00