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Texas rates for HCPCS 23491

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

Facilitymedian $3,890 · 10th–90th $1,000–$21,3800%5%10th90th$3,890$100.0$500.0$2.0K$10.0K$50.0K

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
$933.25 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $18,620.87 / $35,481.34
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $912.01 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $51,286.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,412.54 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,318.26 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $8,128.31 / $16,218.10