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Montana rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.28 / $201.12 / $407.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.67 / $393.82 / $393.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.67 / $390.67 / $390.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.52 / $334.75 / $390.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.54 / $241.93 / $390.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.60 / $376.34 / $508.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.49 / $373.52 / $422.75