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Massachusetts rates for HCPCS 24635

Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,747.00 / $5,908.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.92 / $5,508.58 / $19,078.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$175.82 / $175.82 / $2,581.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.41 / $1,495.12 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,891.27 / $12,891.27 / $12,891.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$175.82 / $175.82 / $2,581.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00