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California rates for HCPCS 23455

Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $10,232.93 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $13,489.63 / $22,387.21
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $7,244.36 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $2,187.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $14,125.38 / $28,840.32