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California rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $4,749.00 / $16,573.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$150.59 / $164.62 / $1,081.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.28 / $219.90 / $789.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.30 / $300.19 / $604.03
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,367.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.76 / $222.89 / $505.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.20 / $253.65 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.55 / $282.60 / $604.34
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.11 / $303.08 / $409.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $327.82 / $593.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.85 / $1,447.20 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$793.71 / $896.72 / $896.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.28 / $1,833.36 / $2,133.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.90 / $315.13 / $418.87
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$286.50 / $286.50 / $461.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.53 / $294.45 / $627.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.83 / $760.83 / $764.44
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.80 / $277.50 / $345.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.00 / $1,533.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.07 / $233.45 / $578.53