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Louisiana rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.76 / $1,172.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$211.49 / $218.07 / $367.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.12 / $290.76 / $407.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.77 / $397.65 / $556.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.93 / $316.60 / $399.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $248.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.17 / $321.95 / $431.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.34 / $249.80 / $469.33