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Oregon rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,344.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $2,570.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $2,290.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $22,387.21 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $20,892.96 / $31,622.78