go back

Nevada 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 $1,660–$14,4540%20%10th90th$4,467Professionalmedian $1,148 · 10th–90th $20–$2,0890%20%10th90th$1,148$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $4,168.69 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $14,454.40 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $1,148.15 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $5,495.41 / $14,125.38