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Oklahoma rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$184.77 / $184.77 / $187.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $246.36 / $251.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.96 / $178.96 / $178.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.90 / $298.36 / $323.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.85 / $207.85 / $207.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.55 / $280.70 / $369.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.89 / $307.07 / $1,447.20
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
$192.58 / $255.04 / $1,833.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.58 / $233.22 / $356.51