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Michigan 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
$344.91 / $358.18 / $390.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$344.91 / $344.91 / $375.62