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Pennsylvania 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
$1,280.40 / $3,830.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $26,582.19
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,578.23 / $34,578.23 / $34,578.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.40 / $4,597.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.97 / $1,401.97 / $1,401.97
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.02 / $139.02 / $139.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.82 / $1,208.82 / $1,208.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00