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Maine rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,282.52 / $17,282.52 / $17,282.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $219.90 / $404.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.95 / $319.58 / $446.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.72 / $361.73 / $527.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.74 / $359.60 / $551.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,282.52 / $17,282.52 / $17,282.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.28 / $221.24 / $404.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.80 / $308.85 / $501.43