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Rhode Island rates for HCPCS 23650

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $676.08