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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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $2,089.30 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $416.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $354.81 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $5,011.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $537.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $407.38 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,467.37 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $478.63