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Colorado rates for HCPCS 23412

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

Facilitymedian $11,220 · 10th–90th $2,138–$36,3080%5%10%10th90th$11,220Professionalmedian $1,259 · 10th–90th $794–$3,1620%20%40%10th90th$1,259$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $5,370.32 / $11,748.98
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $20,417.38 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $5,011.87 / $15,848.93
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,258.93 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $12,022.64 / $18,620.87