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Nationwide rates for HCPCS 23412

Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic

Facilitymedian $6,761 · 10th–90th $1,288$17,7830%10%10th90th$6,761Professionalmedian $1,288 · 10th–90th $741$3,3880%20%10th90th$1,288$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $5,623.41 / $15,135.61
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $12,589.25 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,090.30 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,918.31 / $16,595.87