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Iowa rates for HCPCS 23412

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

Facilitymedian $6,761 · 10th–90th $1,349–$15,1360%10%10th90th$6,761Professionalmedian $1,622 · 10th–90th $813–$3,3880%10%10th90th$1,622$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $6,606.93 / $8,317.64
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,202.26 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,290.87 / $17,782.79
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,089.30 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,481.54 / $19,054.61