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Minnesota 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
$407.38 / $446.68 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,801.89 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$489.78 / $489.78 / $489.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $724.44 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,884.03 / $5,623.41