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New Jersey rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.86 / $3,678.00 / $9,784.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$287.14 / $287.14 / $378.06
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.92 / $3,890.91 / $4,423.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,523.00 / $9,152.00