go back

Washington rates for HCPCS 24620

Closed Tx Monteggia Fx Dislocation Elbow W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.58 / $3,810.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.38 / $727.80 / $1,948.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.10 / $4,554.63 / $11,500.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.48 / $1,374.27 / $5,267.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $1,985.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.23 / $1,075.69 / $1,833.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.46 / $1,167.72 / $1,852.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.92 / $1,114.43 / $1,694.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $372.66 / $1,216.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.38 / $1,054.02 / $1,212.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.44 / $764.21 / $1,613.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.95 / $1,306.85 / $1,640.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,953.48 / $4,552.03 / $8,712.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.39 / $1,160.65 / $1,566.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,436.00 / $6,857.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.85 / $934.61 / $1,723.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.10 / $504.10 / $661.80