go back

Illinois rates for HCPCS 23455

Capsulorrhaphy Anterior W/Labral Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,221.00 / $10,073.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,538.45 / $12,093.07 / $23,674.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $8,739.89 / $9,757.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.75 / $1,673.16 / $5,054.47
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $6,920.00 / $14,716.00