go back

Pennsylvania 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
$1,023.29 / $6,025.60 / $12,302.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.65 / $109.65 / $109.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $14,454.40 / $23,988.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,786.30 / $11,220.18
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,348.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $22,387.21