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Utah 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
$3,162.28 / $7,413.10 / $44,668.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,137.96 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,174.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $23,988.33 / $54,954.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,951.21 / $3,801.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,818.38 / $3,715.35
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,128.61 / $24,547.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $2,570.40