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Texas rates for HCPCS 23412

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

Facilitymedian $5,129 · 10th–90th $1,096–$15,4880%5%10th90th$5,129$100.0$500.0$2.0K$10.0K$50.0K

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 / $4,570.88 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,912.51 / $18,197.01
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
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
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,348.96 / $6,456.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,148.15 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,165.95 / $12,302.69