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Missouri rates for HCPCS 23802

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.28 / $1,296.91 / $3,228.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.94 / $1,493.92 / $2,357.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.77 / $1,701.93 / $2,795.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.13 / $1,945.37 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.10 / $1,761.80 / $9,454.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.88 / $1,631.76 / $2,630.76