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North Carolina 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
$260.36 / $283.95 / $436.69
Wellcare
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$649.82 / $1,299.08 / $1,299.08