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Texas 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
$569.00 / $2,550.00 / $7,495.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$255.32 / $303.99 / $484.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,141.52 / $4,350.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $403.47 / $406.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.75 / $691.75 / $691.75
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$484.22 / $484.22 / $484.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,372.69 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,330.94 / $1,485.25 / $1,485.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.51 / $499.68 / $781.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.58 / $504.12 / $811.19
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$484.22 / $484.22 / $837.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.00 / $1,527.00 / $3,287.00