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Montana 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;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,876.94 / $7,876.94 / $41,415.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.62 / $1,408.62 / $1,408.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.82 / $872.27 / $1,408.62