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Indiana 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
$93.33 / $234.42 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $147.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $154.88 / $239.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $81.28 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $181.97