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Idaho rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,405.48 / $4,500.00 / $12,908.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,392.25 / $5,392.25 / $5,407.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.69 / $1,854.72 / $2,375.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,896.50 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00