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Oklahoma rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.08 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$322.11 / $322.11 / $322.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.42 / $3,505.71 / $5,498.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.42 / $1,351.42 / $1,351.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.29 / $560.08 / $3,910.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$749.74 / $3,154.80 / $3,154.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $2,072.00 / $4,012.00