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Massachusetts 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 $3,631 · 10th–90th $1,413–$8,3180%10%10th90th$3,631$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
$1,949.84 / $3,630.78 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $7,413.10 / $38,904.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,584.89 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,918.31 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $7,413.10 / $38,904.51
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,165.95 / $25,703.96