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Texas 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
$1,026.00 / $3,682.00 / $12,729.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,705.12 / $24,238.04 / $48,316.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,094.66 / $1,118.81
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.20 / $26,542.00 / $80,518.70
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$279.16 / $7,632.03 / $7,632.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.64 / $1,658.41 / $2,577.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.64 / $1,666.70 / $2,660.37
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.02 / $139.02 / $399.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00