go back

Montana rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.22 / $568.94 / $2,073.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.73 / $652.52 / $652.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.73 / $595.73 / $595.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.58 / $536.16 / $648.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.62 / $373.87 / $595.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.05 / $587.73 / $824.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.46 / $616.54 / $710.48