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Wisconsin rates for HCPCS 23455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,995.26 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $5,011.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,995.26 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,041.74 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,089.30 / $3,235.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $17,378.01 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79