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Pennsylvania rates for HCPCS 24802

Arthrodesis Elbow Joint W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.94 / $4,048.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.26 / $1,015.45 / $1,474.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.24 / $1,066.29 / $1,837.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.27 / $1,138.27 / $1,138.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.82 / $1,230.19 / $2,028.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.61 / $1,614.81 / $2,056.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $4,993.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.26 / $1,094.43 / $4,958.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.40 / $1,197.40 / $2,049.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.27 / $1,138.27 / $1,138.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.82 / $1,248.70 / $2,082.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.87 / $981.87 / $1,139.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.47 / $987.94 / $1,139.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.48 / $1,215.14 / $2,001.78