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Washington 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
$1,230.27 / $8,128.31 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $13,182.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $12,022.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $1,318.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $912.01 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $21,379.62 / $41,686.94