go back

Wyoming rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.43 / $251.13 / $313.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.00 / $252.00 / $252.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.00 / $478.00 / $723.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.12 / $460.15 / $701.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.82 / $460.08 / $722.16