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Missouri rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $14,433.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.63 / $1,555.56 / $21,310.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,463.00 / $12,989.00