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Ohio rates for HCPCS 23802

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.23 / $8,037.00 / $11,754.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.79 / $1,264.11 / $2,494.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.00 / $7,982.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.68 / $1,321.39 / $2,105.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.92 / $1,463.00 / $1,943.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.09 / $1,706.84 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.09 / $1,706.83 / $2,382.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.45 / $1,453.45 / $1,453.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.13 / $1,750.60 / $2,340.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $915.96 / $1,530.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.03 / $1,595.48 / $2,607.15