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Tennessee rates for HCPCS 23802

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.08 / $4,069.00 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.15 / $1,301.14 / $2,052.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,691.00 / $7,097.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.29 / $1,675.82 / $2,700.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.85 / $1,721.26 / $2,662.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,206.30 / $26,542.00 / $37,623.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,268.24 / $9,454.64 / $11,047.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.94 / $1,366.25 / $2,560.40