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Oregon rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Facilitymedian $813 · 10th–90th $490–$5,4950%10%20%10th90th$813Professionalmedian $912 · 10th–90th $692–$1,0720%50%10th90th$912$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,659.59 / $7,943.28
Aetna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,318.26 / $1,659.59 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $912.01 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $645.65 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,318.26 / $1,380.38 / $1,698.24
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $812.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,370.32 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,495.41 / $7,413.10