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North Dakota rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.09 / $232.17 / $2,000.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$173.32 / $173.32 / $174.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.21 / $220.85 / $250.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.48 / $543.55 / $637.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.60 / $597.95 / $809.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.09 / $304.86 / $425.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.72 / $425.92 / $1,818.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.72 / $437.69 / $604.00