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New York 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
$1,497.74 / $4,640.82 / $10,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $10,576.00 / $24,288.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.35 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.97 / $1,401.97 / $1,401.97
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.02 / $139.02 / $139.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,114.58 / $3,885.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.51 / $1,155.51 / $1,155.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,401.97
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.02 / $139.02 / $139.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.70 / $1,477.70 / $6,847.76