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Virginia rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.09 / $2,012.00 / $6,827.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.30 / $400.37 / $541.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.13 / $445.27 / $736.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.33 / $425.97 / $2,635.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $420.00 / $628.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.15 / $458.77 / $871.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.38 / $514.25 / $607.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.17 / $467.80 / $711.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.00 / $504.00 / $765.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.08 / $443.75 / $921.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.05 / $482.30 / $982.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.25 / $439.71 / $737.92