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Oklahoma rates for HCPCS 25675

Closed treatment of distal radioulnar dislocation with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$320.93 / $320.93 / $353.88
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,378.64 / $1,378.64 / $1,378.64