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Michigan rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $741.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $575.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $794.33 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $549.54