go back

California rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $676.08
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $912.01 / $5,888.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $588.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $338.84 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $549.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $354.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $323.59 / $489.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $630.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $489.78