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Pennsylvania rates for HCPCS 23630

Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $5,274.00 / $8,933.00
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
$892.02 / $892.02 / $892.02
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$88.58 / $88.58 / $88.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,968.65 / $20,495.00 / $24,666.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,342.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.02 / $892.02 / $892.02
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$88.58 / $88.58 / $88.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.63 / $766.05 / $766.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00