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Missouri rates for HCPCS 24576

Closed treatment of humeral condylar fracture, medial or lateral; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.13 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$203.06 / $227.63 / $285.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.74 / $335.04 / $864.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.85 / $189.85 / $513.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.91 / $350.00 / $513.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.70 / $429.86 / $706.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.51 / $452.24 / $951.27
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,053.30 / $1,053.30 / $1,053.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.34 / $522.51 / $2,708.08
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.09 / $591.09 / $591.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.70 / $429.61 / $734.17