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Massachusetts rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $7,244.36 / $33,884.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $7,762.47
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $7,244.36 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $16,595.87