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Alaska rates for HCPCS 23802

Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $14,125.38 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,265.80 / $5,495.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,778.28 / $8,709.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,365.16 / $6,606.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,248.07 / $7,413.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $6,918.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,737.80 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $7,413.10