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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.00 / $5,503.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,999.00 / $26,120.00 / $67,429.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,332.81 / $20,332.81 / $50,000.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.76 / $1,711.81 / $2,182.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.87 / $1,774.10 / $2,447.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$33.28 / $33.28 / $33.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $13,967.00 / $20,534.00