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Virginia rates for HCPCS 23455

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

Facilitymedian $4,266 · 10th–90th $1,023–$15,1360%5%10th90th$4,266Professionalmedian $1,259 · 10th–90th $851–$1,7380%10%20%10th90th$1,259$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $6,456.54 / $15,135.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,737.80 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,318.26 / $2,041.74
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,288.25 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,748.98 / $26,302.68