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West Virginia 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
$1,196.74 / $31,133.19 / $31,133.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.67 / $926.78 / $1,009.75
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
$9,967.06 / $9,967.06 / $9,967.06