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Montana 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
$3,949.88 / $3,949.88 / $3,949.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.15 / $655.15 / $655.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.48 / $442.15 / $655.15