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Maryland rates for HCPCS 23474

Revis Shoulder Arthrplsty Humeral&Glenoid Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.34 / $8,302.48 / $26,235.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.13 / $2,345.62 / $3,575.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $2,156.00 / $3,522.00