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West Virginia 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
$660.41 / $1,037.46 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.52 / $803.44 / $875.35
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