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Texas rates for HCPCS 23420

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

Facilitymedian $4,898 · 10th–90th $1,148–$15,8490%5%10th90th$4,898$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
$1,148.15 / $4,265.80 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $9,549.93 / $18,197.01
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $7,762.47 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,445.44 / $6,025.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,288.25 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,165.95 / $12,022.64