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Texas rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.31 / $3,925.00 / $13,401.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,563.21 / $9,391.66 / $18,065.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $859.98 / $877.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.18 / $1,120.18 / $1,120.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,454.00 / $25,476.75 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.53 / $1,270.33 / $2,058.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.53 / $1,282.03 / $2,092.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00