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Georgia rates for HCPCS 25675

Closed treatment of distal radioulnar dislocation with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$313.10 / $375.96 / $566.27
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$501.95 / $501.95 / $501.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$589.07 / $589.07 / $652.64