go back

Louisiana rates for HCPCS 23655

Clsd Tx Shoulder Dislc W/Manipulation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$373.29 / $386.23 / $651.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.06 / $2,728.26 / $4,087.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $406.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,752.00 / $4,123.00