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Ohio rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.15 / $2,013.00 / $9,654.40
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$300.11 / $376.94 / $973.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,722.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.04 / $469.78 / $623.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.05 / $472.05 / $472.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$328.83 / $328.83 / $328.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,665.00 / $4,951.00