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Maryland 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
$371.54 / $371.54 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $660.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.89 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $87.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $151.36