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Minnesota rates for HCPCS 23655

Clsd Tx Shoulder Dislc W/Manipulation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.69 / $595.82 / $2,168.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$312.52 / $312.52 / $312.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.34 / $3,094.40 / $6,169.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.77 / $1,444.07 / $3,473.91
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$328.83 / $328.83 / $328.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.25 / $1,320.23 / $2,735.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.85 / $711.58 / $2,296.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$323.24 / $323.24 / $749.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $4,146.01 / $6,361.00