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Tennessee rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.82 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$155.44 / $338.12 / $463.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $235.01 / $404.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.79 / $300.10 / $476.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.84 / $316.91 / $475.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.85 / $1,447.20 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$793.71 / $896.72 / $896.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.28 / $1,833.36 / $2,133.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.71 / $262.48 / $482.14