go back

Montana rates for HCPCS 24370

Revis Elbow Arthrplsty Humeral/Ulna Compnt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.17 / $2,141.92 / $8,062.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.67 / $2,428.67 / $2,428.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.83 / $2,428.67 / $2,606.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.30 / $1,298.17 / $2,428.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.93 / $2,428.67 / $3,185.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.45 / $1,915.45 / $25,733.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.64 / $2,589.12 / $3,222.08