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Oklahoma rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.37 / $387.22 / $422.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.85 / $207.85 / $207.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.58 / $437.05 / $611.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.21 / $475.83 / $1,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.60 / $416.70 / $3,034.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.08 / $385.92 / $572.70