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Pennsylvania rates for HCPCS 24371

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.00 / $4,264.00 / $11,022.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.07 / $2,002.07 / $2,002.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.00 / $5,742.00 / $12,474.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.07 / $2,002.07 / $2,002.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.04 / $1,726.00 / $1,726.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $6,515.00 / $10,875.00