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Arkansas rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.12 / $803.00 / $2,812.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$185.93 / $200.09 / $249.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.47 / $243.73 / $349.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.96 / $178.96 / $178.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.54 / $210.54 / $252.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.32 / $325.92 / $345.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.26 / $167.26 / $167.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.15 / $334.68 / $434.88
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.80 / $205.80 / $205.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.56 / $272.16 / $433.29