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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
$89.13 / $323.59 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $251.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $316.23 / $338.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $128.82 / $213.80