go back

Idaho 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
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $380.19 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $346.74 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $346.74 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $54.95 / $74.13