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Maine rates for HCPCS 01742

Anesthesia Open/Surg Arthrs Osteotomy Humerus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.42 / $377.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.18 / $243.18 / $539.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $325.00 / $560.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.42 / $360.00 / $411.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $75.00