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Tennessee rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.19 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.64 / $383.83 / $628.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.37 / $478.89 / $763.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.48 / $500.56 / $778.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,170.50 / $2,204.65 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,726.16 / $3,034.96 / $3,556.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.81 / $424.79 / $787.63