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Indiana 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
$331.13 / $457.09 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $77.62 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $331.13 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $70.79