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Ohio rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.85 / $8,037.00 / $11,754.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,782.00 / $7,184.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.63 / $1,109.69 / $1,373.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.18 / $1,120.18 / $1,120.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00