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Colorado rates for HCPCS 23616

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

Facilitymedian $16,218 · 10th–90th $3,090–$52,4810%5%10th90th$16,218Professionalmedian $1,778 · 10th–90th $1,122–$5,8880%20%40%10th90th$1,778$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
$2,089.30 / $5,495.41 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $33,113.11 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $20,417.38 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,778.28 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $13,489.63 / $22,908.68