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New York 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
$734.16 / $3,756.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.37 / $591.96 / $1,236.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.63 / $565.25 / $1,327.24
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.58 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.58 / $796.58 / $796.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.25 / $679.25 / $679.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.76 / $837.43 / $2,130.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $646.99 / $1,599.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.59 / $929.35 / $1,372.35
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.12 / $562.12 / $562.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.05 / $786.96 / $1,263.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.09 / $1,677.09 / $2,055.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.25 / $1,483.25 / $1,483.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $23,612.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.27 / $832.78 / $1,933.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.79 / $695.87 / $1,663.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.10 / $716.10 / $2,505.65
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.05 / $783.37 / $1,513.73