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Missouri 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
$93.40 / $267.83 / $5,560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.34 / $108.93 / $446.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $107.89 / $155.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.23 / $129.74 / $220.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.87 / $132.38 / $380.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.30 / $165.19 / $1,011.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.94 / $137.80 / $214.87