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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.25 / $728.64 / $1,012.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.32 / $3,860.69 / $4,869.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00