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Washington rates for HCPCS 25675

Closed Tx Distal Radioulnar Dislocation W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$440.44 / $656.20 / $849.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$767.65 / $1,378.64 / $1,378.64