go back

Montana 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
$268.38 / $268.38 / $1,534.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.79 / $117.34 / $423.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.24 / $139.97 / $166.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.24 / $127.24 / $127.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.90 / $130.13 / $166.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $91.59 / $160.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.16 / $142.53 / $215.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.28 / $170.51 / $210.65