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Washington rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Facilitymedian $1,288 · 10th–90th $525–$7,9430%5%10%10th90th$1,288$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$758.58 / $4,466.84 / $17,782.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,265.80 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $562.34 / $2,398.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $831.76 / $2,041.74
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $776.25 / $812.83
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,466.84 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $5,011.87 / $9,120.11