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Indiana rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.66 / $2,472.00 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,010.00 / $14,096.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.34 / $1,232.45 / $1,848.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,019.60 / $6,019.60 / $7,135.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00