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Texas 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 $4,266 · 10th–90th $1,023–$19,0550%5%10th90th$4,266$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
$1,096.48 / $3,890.45 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $17,782.79 / $34,673.69
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
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
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $51,286.14
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,258.93 / $5,248.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,071.52 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $8,128.31 / $16,218.10