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Montana rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.30 / $346.97 / $1,257.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.35 / $397.50 / $397.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.35 / $394.35 / $394.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.76 / $337.88 / $394.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.90 / $246.13 / $394.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.54 / $384.70 / $510.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.60 / $380.80 / $430.98