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Oklahoma 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
$277.92 / $277.92 / $302.57
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,163.50 / $1,163.50 / $1,163.50