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Tennessee rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.11 / $1,794.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$271.87 / $591.35 / $810.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,136.00 / $2,805.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.95 / $4,754.80 / $12,000.00
Lucent Health
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
$1,130.00 / $2,297.00 / $4,099.00