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Alaska rates for HCPCS 24640

Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.21 / $427.14 / $11,709.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $208.23 / $533.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.35 / $267.33 / $453.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.56 / $401.74 / $711.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.28 / $303.72 / $610.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.75 / $432.90 / $596.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.80 / $431.75 / $711.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.31 / $432.90 / $624.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.70 / $463.23 / $582.34