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Maine rates for HCPCS 24370

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,621.81 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,238.72 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,290.87 / $3,548.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $3,890.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,949.84 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,995.26 / $3,311.31