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South Carolina rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.52 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$206.65 / $209.14 / $454.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $245.20 / $362.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.64 / $438.34 / $711.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $237.64 / $371.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.80 / $375.00 / $580.00
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$286.50 / $286.50 / $286.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.35 / $293.62 / $538.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.48 / $311.43 / $499.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $194.79 / $327.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.76 / $247.55 / $548.70