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Pennsylvania rates for HCPCS 23605

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.48 / $2,180.00 / $7,317.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$329.74 / $337.64 / $372.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.22 / $450.19 / $702.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.46 / $498.59 / $835.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.07 / $736.07 / $736.07
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$515.25 / $515.25 / $515.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.18 / $540.12 / $875.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.44 / $775.79 / $992.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.60 / $2,244.06 / $9,239.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.75 / $461.75 / $491.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.39 / $2,450.00 / $8,017.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$337.64 / $337.64 / $372.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.68 / $496.48 / $1,022.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.20 / $577.20 / $985.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.07 / $736.07 / $736.07
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$515.25 / $515.25 / $515.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.40 / $546.69 / $884.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.80 / $463.49 / $500.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.80 / $460.99 / $498.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.94 / $565.47 / $874.85