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Vermont 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
$48.00 / $48.00 / $48.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $48.00 / $1,032.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $360.00 / $506.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $305.00 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.08 / $92.38