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Virginia 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
$1,538.00 / $5,360.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,524.00 / $22,312.00 / $37,718.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $1,401.97
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.02 / $139.02 / $139.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.93 / $1,506.47 / $1,771.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.04 / $1,663.92 / $2,446.46
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$217.47 / $306.64 / $450.42
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.90 / $1,659.67 / $5,286.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00