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Montana rates for HCPCS 23455

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.88 / $1,566.88 / $1,566.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.88 / $1,050.33 / $1,566.88