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Open Repair Of A Long-Standing Rotator Cuff Tear

West Virginia rates for HCPCS 23412

Repairs a torn rotator cuff — the group of tendons that hold the shoulder in its socket and lift the arm — through an open incision, in a tear that has been present for a long time. Because the tendon has pulled back and thinned over the months or years, the surgeon frees it from surrounding scar before drawing it back to the bone and anchoring it there. A sling and a staged physiotherapy program follow.

Rates data updated July 2026.

Facilitymedian $6,026 · 10th–90th $1,413$11,2200%20%10th90th$6,026$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
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,073.80
Typical High
$20,417.38