go back

Montana rates for HCPCS 23802

Arthrodesis Glenohumeral Jt W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.07 / $1,792.34 / $6,698.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,037.48 / $2,037.48 / $2,037.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.97 / $2,037.48 / $2,159.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.88 / $1,314.52 / $2,037.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.95 / $2,037.48 / $2,661.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.41 / $2,110.71 / $2,369.92