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California rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.00 / $4,848.00 / $16,008.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$268.07 / $290.20 / $1,849.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,597.00 / $9,381.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,367.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.00 / $1,646.28 / $2,948.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.69 / $500.94 / $676.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.22 / $555.45 / $991.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.95 / $4,754.80 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$667.32 / $3,154.80 / $3,154.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.20 / $524.44 / $727.51
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$328.83 / $328.83 / $788.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,212.00 / $4,038.00 / $9,072.00