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Pennsylvania 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
$270.11 / $279.02 / $305.20
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$423.40 / $423.40 / $423.40
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$279.02 / $279.02 / $305.20
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$423.40 / $423.40 / $423.40