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Massachusetts 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
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $724.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $52.48 / $104.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $72.44 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $389.05 / $549.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $64.57 / $91.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $52.48 / $104.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $72.44 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $104.71