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Nebraska 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
$248.81 / $248.81 / $272.47
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,163.50 / $1,163.50 / $1,163.50