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Oregon rates for HCPCS 23420

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

Facilitymedian $1,905 · 10th–90th $1,318–$19,0550%20%40%10th90th$1,905Professionalmedian $1,950 · 10th–90th $1,479–$2,3440%20%40%10th90th$1,950$20.0$200.0$2.0K$20.0K$200.0K

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
$1,949.84 / $7,943.28 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $2,344.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,621.81 / $2,398.83
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,862.09 / $1,949.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $2,290.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,442.29 / $28,183.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $19,054.61 / $31,622.78