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West 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
$298.67 / $327.84 / $527.66
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$501.95 / $501.95 / $501.95