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Idaho rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.90 / $320.02 / $494.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.63 / $355.25 / $420.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $404.72 / $584.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.69 / $443.66 / $568.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $393.75 / $438.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.28 / $3,860.69 / $4,869.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.90 / $499.88 / $568.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.82 / $346.80 / $498.33