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Minnesota 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
$645.65 / $645.65 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $14,125.38 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.65 / $109.65 / $109.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $9,120.11 / $13,182.57