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Virginia 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
$470.82 / $3,309.00 / $7,275.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$332.96 / $359.04 / $782.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $691.75
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$484.22 / $484.22 / $484.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.41 / $557.44 / $658.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.45 / $524.37 / $789.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.13 / $513.12 / $1,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00