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Indiana rates for HCPCS 23552

Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $9,120.11 / $29,512.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $28,183.83 / $39,810.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $645.65 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $17,378.01