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Maryland 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
$4,897.79 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $645.65 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $707.95 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $3,548.13