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Kentucky 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
$758.58 / $1,949.84 / $9,120.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,073.80 / $9,549.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,096.48 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,011.87 / $12,302.69