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Missouri 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
$1,760.00 / $5,560.00 / $12,174.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$732.78 / $732.78 / $1,041.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,864.00 / $24,141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.00 / $10,814.00 / $10,814.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.56 / $2,616.88 / $8,026.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,506.64 / $3,506.64 / $6,354.39
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$438.33 / $438.33 / $794.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.00 / $4,963.00 / $15,655.00