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Illinois rates for HCPCS 23412

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

Facilitymedian $3,890 · 10th–90th $1,122–$12,5890%10%10th90th$3,890Professionalmedian $1,514 · 10th–90th $912–$5,3700%10%10th90th$1,514$100.0$500.0$2.0K$10.0K

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
$1,122.02 / $3,548.13 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,471.29 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $12,302.69 / $13,489.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,513.56 / $5,370.32
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,165.95 / $13,803.84