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New York 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
$803.49 / $4,910.00 / $14,113.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.04 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.07 / $739.07 / $739.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.78 / $73.78 / $73.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $701.31 / $1,730.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.05 / $612.05 / $612.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.86 / $3,013.86 / $6,206.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $739.07
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.78 / $73.78 / $73.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.73 / $784.73 / $3,011.69