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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
$234.42 / $316.23 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $323.59 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $426.58 / $478.63
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $309.03 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $346.74 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $446.68