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Maryland rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,146.40 / $6,146.40 / $13,409.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $1,012.17 / $4,240.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.60 / $1,321.57 / $1,784.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00