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Pennsylvania rates for HCPCS 23545

Closed treatment of acromioclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$246.58 / $250.61 / $279.45
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$392.80 / $392.80 / $392.80
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$250.61 / $250.61 / $279.45
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$392.80 / $392.80 / $392.80