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Minnesota rates for HCPCS 23455

Capsulorrhaphy Anterior W/Labral Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.70 / $977.70 / $9,658.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,607.02 / $13,126.55 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.69 / $3,355.17 / $8,071.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.73 / $3,067.43 / $6,355.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.24 / $1,804.59 / $6,241.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00