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Pennsylvania rates for HCPCS 24635

Open Tx Monteggia Fracture Dislocation Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,494.00 / $8,089.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.08 / $777.08 / $777.08
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.84 / $76.84 / $76.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,352.05 / $11,321.75 / $32,020.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.08 / $777.08 / $777.08
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.84 / $76.84 / $76.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.65 / $664.65 / $1,112.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00