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Maine 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
$129.13 / $317.27 / $342.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $114.20 / $166.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $103.19 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $153.74 / $224.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.52 / $129.02 / $229.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $317.27 / $336.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.25 / $127.28 / $175.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.14 / $157.06 / $223.27