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Idaho rates for HCPCS 24577

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.58 / $733.27 / $1,138.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.22 / $793.97 / $958.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.10 / $911.39 / $1,301.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.61 / $977.19 / $1,200.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $794.33 / $999.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.41 / $3,860.69 / $4,869.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.13 / $1,050.90 / $1,200.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.96 / $820.05 / $1,142.00