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Maine 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
$11,966.67 / $14,758.01 / $14,758.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,569.01 / $56,593.28 / $65,823.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,966.67 / $14,758.01 / $18,108.95