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West Virginia rates for HCPCS 23455

Capsulorrhaphy Anterior W/Labral Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.30 / $1,400.00 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.54 / $1,155.01 / $1,258.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.18 / $1,120.18 / $1,120.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,529.36 / $12,529.36 / $12,529.36