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Arizona rates for HCPCS 23665

Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.00 / $2,897.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.94 / $492.50 / $1,497.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,330.94 / $1,330.94 / $1,330.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,525.00 / $3,051.00