go back

Utah rates for HCPCS 23520

Clsd Tx Sternoclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.42 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.50 / $306.42 / $1,251.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.66 / $305.99 / $523.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $158.65 / $221.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.37 / $383.88 / $540.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.85 / $244.80 / $398.40