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Maine rates for HCPCS 23802

Arthrodesis Glenohumeral Jt W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.42 / $1,338.86 / $1,616.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.04 / $1,736.76 / $2,465.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.63 / $1,939.23 / $2,758.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.47 / $1,863.31 / $2,858.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.42 / $1,466.40 / $1,616.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.90 / $1,699.59 / $2,556.08