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Tennessee 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 $1,514–$16,9820%10%10th90th$4,467$50.0$200.0$1.0K$5.0K$20.0K

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
$1,096.48 / $2,691.53 / $16,982.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $9,332.54 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $75,857.76 / $75,857.76
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,762.47 / $12,302.69