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Virginia 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);

Facilitymedian $3,236 · 10th–90th $1,122–$13,4900%5%10%10th90th$3,236Professionalmedian $1,413 · 10th–90th $955–$1,9050%10%20%10th90th$1,413$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $4,466.84 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,791.08 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,202.26 / $1,412.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,862.09 / $2,511.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,380.38 / $2,089.30
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,412.54 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,748.98 / $26,302.68