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Michigan rates for HCPCS 23500

Closed treatment of clavicular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.77 / $439.11 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$216.59 / $221.10 / $229.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.84 / $288.77 / $401.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.62 / $225.46 / $330.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.97 / $293.98 / $396.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.89 / $261.29 / $572.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.08 / $252.10 / $480.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.15 / $451.74 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$216.59 / $216.59 / $221.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.80 / $294.80 / $410.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.69 / $162.92 / $246.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $255.71 / $377.05