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North Carolina rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.52 / $1,615.00 / $12,247.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $7,708.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.52 / $1,409.14 / $2,060.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,454.00 / $25,476.75 / $26,542.00