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Idaho 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
$131.83 / $467.74 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $147.91 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $269.15 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $181.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $162.18 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $549.54 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $218.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $144.54 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $144.54 / $213.80