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Missouri 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
$41.69 / $371.54 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $54.95 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $83.18 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $58.88 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $54.95 / $75.86