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Connecticut 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
$636.83 / $4,884.27 / $8,031.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$444.11 / $477.62 / $630.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $7,483.00 / $15,501.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $2,296.86 / $2,296.86
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.80 / $1,643.00 / $1,677.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,210.00 / $7,760.00