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Arkansas rates for HCPCS 24620

Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.37 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.82 / $604.04 / $768.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.96 / $1,458.96 / $1,750.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.52 / $788.15 / $834.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.35 / $1,856.35 / $1,856.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.00 / $811.05 / $1,051.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.26 / $663.63 / $1,097.90