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New York rates for HCPCS 23802

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.89 / $5,324.00 / $13,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.52 / $1,334.02 / $2,494.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $9,808.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.21 / $1,379.37 / $3,143.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.33 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.33 / $1,809.33 / $1,809.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.45 / $1,453.45 / $1,453.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.10 / $1,914.71 / $4,835.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,381.81 / $3,425.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.27 / $1,988.52 / $2,938.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.32 / $1,203.32 / $1,203.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.57 / $1,534.91 / $2,707.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,453.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.55 / $1,918.98 / $4,467.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.38 / $1,647.63 / $4,126.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.91 / $1,534.91 / $5,174.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.74 / $1,676.95 / $3,244.56