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Pennsylvania rates for HCPCS 24615

Open treatment of acute or chronic elbow dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,142.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.65 / $814.65 / $814.65
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.94 / $80.94 / $80.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,258.82 / $20,258.82 / $33,301.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.65 / $814.65 / $814.65
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.94 / $80.94 / $80.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.90 / $701.90 / $786.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00