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Vermont rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $794.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $933.25