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Minnesota rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $14,125.38 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,548.13 / $8,511.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,949.84 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,332.54 / $13,182.57