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Washington 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
$3,235.94 / $7,943.28 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $758.58 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,548.13 / $25,703.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $3,467.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,398.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $36,307.81 / $70,794.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $38,018.94 / $72,443.60