go back

Indiana 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
$1,144.33 / $2,940.93 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $10,080.00 / $40,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.39 / $1,557.98 / $2,336.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,024.81 / $19,024.81 / $22,552.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00