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Montana rates for HCPCS 23650

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.50 / $456.00 / $1,604.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.16 / $271.95 / $512.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.25 / $494.25 / $547.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $494.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.32 / $444.83 / $528.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.68 / $326.55 / $494.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.58 / $479.35 / $681.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.59 / $514.07 / $588.07