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North Carolina rates for HCPCS 23455

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

Facilitymedian $2,399 · 10th–90th $1,023–$15,1360%10%10th90th$2,399Professionalmedian $1,738 · 10th–90th $1,738–$2,2910%20%40%90th$1,738$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,715.35 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $8,128.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,348.96 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $14,791.08 / $23,442.29
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $33,884.42