go back

New Hampshire rates for HCPCS 24370

Revis Elbow Arthrplsty Humeral/Ulna Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.61 / $1,607.69 / $2,015.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,613.70 / $31,793.00 / $50,515.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.35 / $2,584.82 / $3,852.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,740.42 / $1,740.42 / $1,740.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.28 / $2,886.24 / $4,515.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.60 / $2,831.02 / $5,326.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,629.00 / $12,629.00 / $12,629.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.24 / $2,457.14 / $4,650.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.07 / $1,337.68 / $1,702.50