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Idaho rates for HCPCS 23650

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.40 / $716.32 / $1,407.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$602.45 / $602.45 / $602.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.15 / $406.67 / $670.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.58 / $459.21 / $557.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.48 / $520.24 / $754.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.57 / $584.48 / $712.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $480.42 / $604.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.11 / $563.48 / $714.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.81 / $626.51 / $712.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.15 / $477.36 / $683.36