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South Carolina rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $5,888.44 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,162.28 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $575.44 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$489.78 / $489.78 / $489.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $954.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $501.19 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,760.83 / $10,000.00