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Virginia rates for HCPCS 25675

Closed treatment of distal radioulnar dislocation with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$333.05 / $367.36 / $857.50
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$501.95 / $501.95 / $501.95