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Colorado rates for HCPCS 23615

Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed;

Facilitymedian $7,244 · 10th–90th $1,380–$31,6230%5%10th90th$7,244Professionalmedian $1,288 · 10th–90th $832–$3,2360%20%40%10th90th$1,288$200.0$1.0K$5.0K$20.0K$100.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $5,370.32 / $12,302.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $25,703.96 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $12,882.50 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $13,489.63 / $22,908.68