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North Dakota rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.17 / $403.17 / $8,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$302.38 / $302.38 / $302.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.17 / $513.10 / $727.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,105.02 / $3,105.02 / $3,105.02