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North Carolina rates for HCPCS 25675

Closed treatment of distal radioulnar dislocation with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$300.43 / $331.98 / $500.87
Wellcare
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$767.65 / $1,535.49 / $1,535.49