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Idaho rates for HCPCS 24370

Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $37,153.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $2,691.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,344.23 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,570.40 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $29,512.09 / $45,708.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $3,630.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,412.54 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $12,022.64 / $66,069.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $3,162.28