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South Carolina rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $416.87 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $295.12 / $537.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,760.83 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $389.05