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
$269.15 / $346.74 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $141.25 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $128.82 / $165.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $169.82 / $223.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $223.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $125.89 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $208.93