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Virginia rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.63 / $6,705.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.18 / $1,120.18 / $1,200.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.67 / $1,189.98 / $1,396.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.61 / $1,326.82 / $2,018.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.91 / $1,286.47 / $4,335.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00