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Arizona rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.96 / $224.40 / $416.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $337.73 / $552.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.58 / $296.37 / $370.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $272.38 / $453.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.43 / $278.20 / $1,221.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$793.71 / $793.71 / $793.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $257.79 / $1,833.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.84 / $220.11 / $441.43