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Michigan rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.75 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.11 / $306.75 / $321.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.84 / $1,637.13 / $2,218.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.09 / $379.46 / $654.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.51 / $267.51 / $514.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.40 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.40 / $270.88 / $393.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $184.05 / $281.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.87 / $270.44 / $386.96