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Tennessee rates for HCPCS 25675

Closed Tx Distal Radioulnar Dislocation W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$268.58 / $584.23 / $800.71
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,378.64 / $1,535.49 / $1,535.49