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Montana rates for HCPCS 24565

Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $707.95 / $891.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $912.01 / $1,023.29
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $912.01 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $741.31 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,023.29