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Tennessee rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.12 / $242.33 / $388.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,142.00 / $2,849.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $310.70 / $484.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.11 / $321.47 / $484.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.45 / $1,460.70 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.88 / $1,849.04 / $2,171.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.42 / $262.99 / $499.06