go back

Maine rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.80 / $259.23 / $300.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.38 / $326.61 / $459.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.63 / $365.51 / $532.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.10 / $365.80 / $561.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.80 / $260.68 / $300.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.40 / $307.98 / $506.31