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Repair of a Broken Shoulder Bump

Virginia rates for HCPCS 23630

Repairs a broken greater tuberosity, the bony bump at the top of the upper arm bone where the main shoulder tendons attach, through an incision. The fragment is placed back into its bed and held with screws, wires or strong stitches so the tendons pull on the arm properly again. It is used when the piece has pulled far enough out of place that healing where it lies would leave the shoulder weak and stiff.

Facilitymedian $3,631 · 10th–90th $813$11,4820%5%10%10th90th$3,631Professionalmedian $912 · 10th–90th $708$1,4130%20%10th90th$912$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,370.32
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,479.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$26,302.68