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Nebraska rates for HCPCS 23802

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.73 / $1,162.73 / $6,698.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,368.80 / $18,898.90 / $36,556.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.27 / $1,916.36 / $2,555.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.89 / $9,949.89 / $9,949.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.00 / $2,825.49 / $3,787.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.73 / $2,034.78 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.64 / $2,562.86 / $3,508.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.00 / $2,911.51 / $12,675.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.00 / $2,603.16 / $3,787.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.64 / $2,618.66 / $3,337.68