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Massachusetts 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
$886.00 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.85 / $604.04 / $1,214.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.63 / $2,826.85 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.50 / $1,002.63 / $4,336.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.41 / $940.28 / $1,680.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.79 / $1,312.80 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.86 / $839.28 / $1,155.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.93 / $1,482.70 / $1,955.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,592.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.07 / $1,041.57 / $4,336.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.69 / $839.72 / $1,810.43