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Georgia rates for HCPCS 23625

Closed treatment of greater humeral tuberosity fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$272.33 / $348.44 / $485.98
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$423.40 / $423.40 / $423.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$496.85 / $496.85 / $542.96