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Virginia rates for HCPCS 23420

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.41 / $5,980.00 / $14,867.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.89 / $1,108.89 / $1,200.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$110.09 / $110.09 / $110.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.33 / $1,198.50 / $1,414.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.40 / $1,291.55 / $1,966.00
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$166.67 / $242.04 / $352.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.90 / $1,248.14 / $4,236.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,671.00 / $21,639.00