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South Carolina rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $12,022.64 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $18,620.87 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,659.59 / $7,413.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96