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Utah 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
$309.03 / $407.38 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $181.97 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $162.18 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $239.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $169.82