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Iowa rates for HCPCS 23491

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus

Facilitymedian $4,266 · 10th–90th $1,585$19,9530%5%10th90th$4,266Professionalmedian $1,905 · 10th–90th $955$3,2360%10%10th90th$1,905$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,981.07 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,445.44 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,691.53 / $32,359.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,398.83 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $15,135.61 / $33,884.42