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Montana rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,216.98 / $4,259.78 / $4,335.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.51 / $662.51 / $662.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.83 / $413.74 / $662.51