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Oklahoma 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
$1,636.00 / $5,915.00 / $14,100.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$914.86 / $914.86 / $914.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,426.66 / $29,273.44 / $46,251.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.75 / $2,467.73 / $11,615.00
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $6,980.00 / $14,139.00