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North Carolina 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
$1,207.21 / $1,880.32 / $10,561.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $24,364.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.21 / $1,864.00 / $2,728.29
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$217.47 / $260.95 / $381.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.20 / $70,279.48 / $80,518.70
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$279.16 / $4,588.43 / $7,632.03