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Virginia rates for HCPCS 24655

Closed treatment of radial head or neck fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.95 / $1,719.00 / $5,743.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$336.30 / $371.18 / $788.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $420.00 / $699.73
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$489.81 / $489.81 / $489.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.62 / $576.30 / $681.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.74 / $539.90 / $818.01
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.55 / $503.42 / $982.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00