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Montana rates for HCPCS 23530

Open treatment of sternoclavicular dislocation, acute or chronic;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,440.60 / $4,440.60 / $4,440.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.63 / $615.23 / $3,014.39
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
$925.41 / $925.41 / $925.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.41 / $925.41 / $925.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.13 / $925.41 / $959.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.96 / $631.07 / $925.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.41 / $925.41 / $1,204.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.70 / $926.79 / $1,048.93