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West 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
$1,220.54 / $1,400.00 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.13 / $1,465.75 / $1,596.96
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