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Montana rates for HCPCS 24586

Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius);

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.20 / $1,726.20 / $1,726.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.94 / $1,171.41 / $1,726.20