| Code | Description | States | Median rate |
|---|---|---|---|
| 23333 | Removal of a deep foreign body from the shoulder | 47 | $380.59 |
| 23334 | Shoulder implant removal, one component | 47 | $845.23 |
| 23335 | Shoulder implant removal, both components | 47 | $1,002.04 |
| 23410 | Rotator cuff repair, recent tear | 48 | $684.70 |
| 23412 | Rotator cuff repair, long-standing tear | 48 | $733.07 |
| 23470 | Partial shoulder replacement (hemiarthroplasty) | 48 | $978.60 |
| 23472 | Total shoulder replacement | 46 | $1,144.91 |
| 23474 | Revision of a total shoulder replacement, both components | 47 | $1,338.65 |
| 23500 | Closed treatment of a collarbone fracture, no manipulation | 48 | $183.69 |
| 23505 | Closed treatment of a collarbone fracture, with manipulation | 48 | $284.31 |
| 23515 | Open treatment of a collarbone fracture | 48 | $540.96 |
| 23600 | Closed treatment of upper-arm shoulder fracture without manipulation | 48 | $261.51 |
| 23605 | Closed treatment of an upper arm fracture near the shoulder | 48 | $387.78 |
| 23615 | Open treatment of an upper arm fracture near the shoulder | 48 | $665.00 |
| 23650 | Closed treatment of shoulder dislocation with manipulation | 48 | $276.69 |
| 23700 | Shoulder manipulation under anesthesia | 48 | $154.55 |
| 23800 | Shoulder joint fusion | 47 | $832.78 |
| 23920 | Amputation through the shoulder joint | 46 | $871.49 |
| 23929 | Unlisted shoulder procedure | 10 | $222.36 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.