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West Virginia 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
$109.49 / $352.50 / $1,185.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.87 / $109.12 / $175.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.62 / $91.00 / $99.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.95 / $88.13 / $88.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.08 / $134.08 / $134.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.78 / $119.97 / $372.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.63 / $507.15 / $995.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.68 / $131.56 / $186.70