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Maryland 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 $646 · 10th–90th $1–$13,4900%20%40%10th90th$646Professionalmedian $1,349 · 10th–90th $1,175–$2,4550%20%10th90th$1,349$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$0.98 / $0.98 / $0.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $645.65 / $13,489.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,348.96 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,174.90 / $35,481.34