go back

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
$172.39 / $389.82 / $3,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $168.98 / $465.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.16 / $135.49 / $209.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $72.32 / $100.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.97 / $447.13 / $651.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.25 / $161.29 / $318.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.12 / $122.73 / $182.07