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Vermont rates for HCPCS 23650

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $407.38 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $645.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $776.25