go back

Montana rates for HCPCS 24160

Prosthesis Removal Humeral And Ulnar Components

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.56 / $1,757.60 / $6,577.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.73 / $1,991.73 / $1,991.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.26 / $1,991.73 / $2,113.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.53 / $986.09 / $1,355.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.76 / $1,991.73 / $2,594.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.42 / $2,035.04 / $2,403.05