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Tennessee 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
$102.57 / $748.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $106.71 / $200.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,500.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $136.37 / $212.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.74 / $132.54 / $221.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $403.09 / $403.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.40 / $864.30 / $1,045.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $135.52 / $238.49