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West Virginia rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.94 / $452.14 / $3,133.06
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$376.94 / $376.94 / $376.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.12 / $483.06 / $526.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.05 / $472.05 / $472.05
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$328.83 / $328.83 / $328.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.60 / $2,903.11 / $7,683.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,487.03 / $4,487.03 / $4,487.03