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South Carolina 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
$1,737.80 / $8,317.64 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $10,000.00 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.65 / $109.65 / $109.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96