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Nebraska rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.56 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$167.08 / $167.08 / $169.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.28 / $222.77 / $1,140.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.33 / $370.82 / $498.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.00 / $531.54 / $712.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.77 / $383.45 / $543.03
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$793.71 / $793.71 / $793.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $456.09 / $1,818.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.08 / $520.78 / $691.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.00 / $520.78 / $681.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $447.06 / $594.27