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Virginia 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
$1,148.15 / $5,495.41 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $891.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,348.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $831.76 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,882.50 / $29,512.09