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Oregon rates for HCPCS 23455

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

Facilitymedian $1,905 · 10th–90th $1,288–$17,7830%20%10th90th$1,905Professionalmedian $1,905 · 10th–90th $1,413–$2,3440%20%40%10th90th$1,905$10.0$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,511.89 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,905.46 / $2,344.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,659.59 / $2,454.71
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,905.46 / $1,949.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $2,290.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,442.29 / $28,183.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $21,379.62 / $31,622.78