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Maryland rates for HCPCS 23650

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.61 / $408.43 / $677.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.15 / $324.36 / $822.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.37 / $330.25 / $374.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.72 / $330.00 / $339.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.86 / $397.01 / $763.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.63 / $472.95 / $625.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.89 / $321.12 / $619.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.02 / $421.62 / $517.89