go back

Pennsylvania rates for HCPCS 24363

Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.79 / $4,264.00 / $11,083.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.08 / $1,642.08 / $1,642.08
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$162.59 / $162.59 / $162.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,140.61 / $23,140.61 / $49,944.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,526.00 / $12,474.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.08 / $1,642.08 / $1,642.08
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$162.59 / $162.59 / $162.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.38 / $1,415.38 / $1,799.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,591.00 / $10,855.00 / $59,190.33