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Massachusetts rates for HCPCS 23605

Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction

Facilitymedian $2,570 · 10th–90th $468–$4,8980%5%10%10th90th$2,570Professionalmedian $562 · 10th–90th $417–$1,3180%10%10th90th$562$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
$436.52 / $2,818.38 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $489.78 / $1,122.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,235.94 / $28,840.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $660.69 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $691.83 / $1,318.26
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $630.96 / $3,467.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $741.31 / $933.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $851.14 / $1,412.54
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,235.94 / $28,840.32
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $660.69 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $1,445.44