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Illinois rates for HCPCS 23655

Clsd Tx Shoulder Dislc W/Manipulation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,055.00 / $4,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$313.73 / $555.14 / $659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.73 / $4,484.60 / $9,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,631.14 / $1,820.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.67 / $684.45 / $1,336.51
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $2,622.00 / $5,026.00