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West Virginia 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
$1,400.00 / $1,726.10 / $2,664.83
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$863.05 / $863.05 / $1,332.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,839.35 / $2,063.71 / $2,248.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.28 / $1,967.28 / $1,967.28
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,554.50 / $1,554.50 / $1,554.50
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.31 / $194.31 / $194.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,859.65 / $43,859.65 / $43,859.65