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Washington, DC rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.48 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$194.36 / $194.36 / $196.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $259.14 / $627.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.35 / $298.02 / $1,021.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.30 / $316.85 / $688.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.94 / $581.78 / $581.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.05 / $495.86 / $704.38