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Washington rates for HCPCS 23420

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

Facilitymedian $2,512 · 10th–90th $1,259–$25,7040%5%10%10th90th$2,512$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,737.80 / $9,772.37 / $29,512.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,698.24 / $10,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,995.26 / $11,220.18
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,862.09 / $1,905.46
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,348.96 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $38,904.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $20,892.96 / $41,686.94