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Washington, DC rates for HCPCS 01742

Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $630.00 / $666.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $400.15 / $499.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.46 / $422.46 / $456.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $67.00 / $99.63