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West Virginia rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.85 / $368.24 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.85 / $262.52 / $348.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.14 / $285.18 / $310.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.59 / $276.18 / $276.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.55 / $415.55 / $415.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.80 / $301.56 / $639.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.34 / $278.45 / $370.48