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Virginia rates for HCPCS 23420

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

Facilitymedian $3,631 · 10th–90th $1,023–$15,4880%5%10%10th90th$3,631Professionalmedian $1,288 · 10th–90th $871–$1,7380%10%20%10th90th$1,288$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $6,165.95 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,096.48 / $1,318.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,698.24 / $2,238.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,258.93 / $1,949.84
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,258.93 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,471.29 / $21,379.62