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Oregon 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
$3,467.37 / $7,943.28 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $4,073.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,630.27 / $6,025.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,511.89 / $3,890.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $19,952.62 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $20,892.96 / $56,234.13