| Code | Description | States | Median rate |
|---|---|---|---|
| 24220 | Injection for an elbow X-ray (arthrogram) | 46 | $149.55 |
| 24300 | Elbow manipulation under anesthesia | 47 | $354.00 |
| 24363 | Total elbow replacement | 46 | $1,139.01 |
| 24500 | Closed treatment of upper-arm shaft fracture without manipulation | 48 | $297.13 |
| 24505 | Closed treatment of an upper arm shaft fracture, manipulated | 48 | $412.73 |
| 24515 | Open treatment of an upper arm shaft fracture, plated | 48 | $678.99 |
| 24516 | Upper arm shaft fracture treated with a rod | 47 | $673.14 |
| 24600 | Closed treatment of elbow dislocation | 48 | $313.42 |
| 24640 | Reduction of a pulled elbow (nursemaid's elbow), child | 48 | $85.85 |
| 24650 | Closed treatment of a radial head fracture, no manipulation | 48 | $209.99 |
| 24655 | Radial head fracture, closed treatment, with manipulation | 48 | $362.01 |
| 24685 | Open treatment of an elbow tip (olecranon) fracture | 48 | $538.19 |
| 24900 | Upper arm amputation with closure | 46 | $588.58 |
| 24920 | Upper arm amputation, open (guillotine) | 46 | $556.39 |
| 24930 | Upper arm amputation, repeat | 46 | $584.22 |
| 24999 | Unlisted upper arm or elbow procedure | 10 | $171.21 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.