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Missouri rates for HCPCS 23500

Closed treatment of clavicular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.72 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$145.19 / $148.32 / $204.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.59 / $231.00 / $524.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.60 / $262.43 / $262.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.64 / $247.18 / $376.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.70 / $291.04 / $471.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.27 / $323.39 / $932.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$422.97 / $422.97 / $755.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.54 / $333.54 / $1,757.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.79 / $273.41 / $472.26