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Illinois rates for HCPCS 23420

Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)

Facilitymedian $5,129 · 10th–90th $1,148–$14,1250%5%10th90th$5,129Professionalmedian $1,698 · 10th–90th $1,047–$5,0120%10%10th90th$1,698$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
$1,148.15 / $4,677.35 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,715.19 / $21,877.62
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
$1,047.13 / $1,698.24 / $5,011.87
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 / $12,882.50