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Louisiana rates for HCPCS 23650

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.76 / $900.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$179.02 / $195.56 / $312.83
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$268.52 / $293.33 / $469.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.15 / $391.11 / $546.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.35 / $492.94 / $970.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.22 / $438.29 / $547.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.21 / $222.21 / $222.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.30 / $430.42 / $592.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.06 / $344.80 / $584.53