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Pennsylvania rates for HCPCS 24101

Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.87 / $2,747.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.54 / $579.54 / $579.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.49 / $57.49 / $57.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.50 / $10,942.35 / $14,403.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.77 / $4,264.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.54 / $579.54 / $579.54
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.49 / $57.49 / $57.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.93 / $496.93 / $596.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00