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Montana rates for HCPCS 24587

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.15 / $1,521.47 / $5,683.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.88 / $1,729.88 / $1,729.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.88 / $1,729.88 / $1,729.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.08 / $1,729.88 / $1,828.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.49 / $1,176.30 / $1,729.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.88 / $1,729.88 / $2,263.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.21 / $1,791.51 / $2,011.52