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Minnesota rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,801.89 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,122.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,737.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $426.58 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $467.74 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,467.37 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $436.52 / $851.14