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Tennessee 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
$1,529.64 / $4,577.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$772.96 / $1,681.31 / $2,304.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $7,097.00 / $13,734.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $21,733.80 / $22,208.78
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,506.64 / $6,862.69 / $6,862.69
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$438.33 / $857.84 / $857.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00