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Illinois rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.69 / $1,169.00 / $4,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$182.80 / $307.89 / $387.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.12 / $236.03 / $416.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.07 / $2,613.02 / $5,699.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.91 / $406.41 / $496.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $280.07 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.30 / $348.55 / $496.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.24 / $394.14 / $1,402.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.79 / $305.64 / $343.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $388.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.11 / $285.99 / $495.27