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Nebraska rates for HCPCS 23474

Revis Shoulder Arthrplsty Humeral&Glenoid Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$785.32 / $785.32 / $785.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,999.34 / $17,097.68 / $33,072.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.64 / $2,748.62 / $8,220.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,506.64 / $6,354.39 / $6,354.39
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$438.33 / $794.30 / $794.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.60 / $3,818.75 / $5,369.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00