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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
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,737.80 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,137.96