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Missouri 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 $4,467 · 10th–90th $1,778–$8,9130%10%10th90th$4,467$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
$1,548.82 / $4,466.84 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,570.88 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,137.96 / $26,302.68
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$316.23 / $7,585.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,265.80 / $15,848.93