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Hawaii 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
$1,513.56 / $3,890.45 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48