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Massachusetts rates for HCPCS 23802

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $3,388.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $7,244.36 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,905.46 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,905.46 / $3,548.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $7,762.47
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,290.87
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $3,715.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,905.46 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $20,892.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $3,715.35