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Texas rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Facilitymedian $1,288 · 10th–90th $251$6,7610%5%10th90th$1,288Professionalmedian $251 · 10th–90th $204$4270%20%10th90th$251$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,454.71 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $245.47 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $380.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $478.63
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,137.96 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $323.59 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $331.13 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $194.98 / $234.42
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $954.99 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $295.12 / $501.19
Providence
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $302.00 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $851.14 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $239.88 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $275.42 / $281.84