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Iowa 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 $4,786 · 10th–90th $1,148$18,1970%5%10%10th90th$4,786Professionalmedian $1,585 · 10th–90th $813$2,7540%10%10th90th$1,585$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
$741.31 / $4,786.30 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,202.26 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,344.23 / $32,359.37
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,995.26 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $15,135.61 / $33,884.42