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West Virginia rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Facilitymedian $457 · 10th–90th $437$5,1290%20%10th90th$457$500.0$1.0K$2.0K$5.0K

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
$436.52 / $457.09 / $5,128.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $4,466.84