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Ohio 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
$429.25 / $2,849.00 / $10,268.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$296.69 / $441.18 / $1,027.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.11 / $464.74 / $617.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.75 / $691.75 / $691.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$484.22 / $484.22 / $484.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,452.00 / $3,756.00