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South Carolina rates for HCPCS 23455

Capsulorrhaphy Anterior W/Labral Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.79 / $12,075.00 / $17,247.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,730.28 / $18,730.91 / $34,283.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.18 / $1,130.00 / $7,343.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.36 / $1,415.99 / $2,191.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00