go back

Indiana rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.49 / $2,500.00 / $5,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$288.37 / $288.37 / $477.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,840.00 / $7,747.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.30 / $527.46 / $791.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.45 / $1,123.45 / $1,331.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00