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Ohio 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
$2,380.00 / $6,251.00 / $11,561.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$841.50 / $1,251.31 / $2,872.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,398.00 / $30,567.87 / $53,822.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.55 / $1,974.60 / $2,622.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.28 / $1,967.28 / $17,383.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,554.50 / $1,554.50 / $1,554.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.31 / $194.31 / $194.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00