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Massachusetts rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.26 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.21 / $237.95 / $384.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.02 / $2,376.00 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.35 / $467.10 / $1,820.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.75 / $392.89 / $701.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.18 / $403.35 / $714.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.14 / $557.50 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.50 / $357.88 / $494.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.12 / $611.13 / $795.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.45 / $3,372.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.60 / $484.74 / $1,820.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.47 / $375.02 / $754.38