go back

Maine rates for HCPCS 24370

Revis Elbow Arthrplsty Humeral/Ulna Compnt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.81 / $1,598.65 / $1,947.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.07 / $2,078.44 / $2,941.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.42 / $2,337.25 / $3,300.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.85 / $2,222.42 / $3,409.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.81 / $1,838.14 / $1,947.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,733.64 / $25,733.64 / $25,733.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.26 / $2,103.94 / $3,044.09