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Tennessee 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
$233.57 / $508.04 / $696.30
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,163.50 / $1,299.08 / $1,299.08