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South Carolina rates for HCPCS 25675

Closed Tx Distal Radioulnar Dislocation W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$358.94 / $397.43 / $867.53
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$501.95 / $501.95 / $501.95