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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
$86.71 / $273.64 / $1,185.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $99.90 / $195.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.46 / $106.54 / $133.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.12 / $153.90 / $209.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $102.62 / $153.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.37 / $119.21 / $171.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.02 / $78.02 / $92.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $129.47 / $234.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.84 / $120.76 / $210.85