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Idaho rates for HCPCS 24635

Open Tx Monteggia Fracture Dislocation Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.61 / $5,519.00 / $14,106.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,764.26 / $5,764.26 / $5,780.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.13 / $1,376.15 / $1,846.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,896.50 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00