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Virginia 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
$2,428.00 / $5,980.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,861.00 / $28,147.00 / $30,324.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,642.08
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$162.59 / $162.59 / $162.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.84 / $1,766.20 / $2,073.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $1,918.16 / $2,807.68
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$209.86 / $282.10 / $529.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.27 / $1,840.38 / $6,337.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,621.00 / $21,089.00 / $40,876.00