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Nebraska rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $11,611.47 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,349.44 / $9,666.52 / $18,698.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,737.51 / $6,737.51 / $6,737.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.01 / $1,634.26 / $9,496.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.90 / $2,372.71 / $7,860.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00