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New Hampshire 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
$363.08 / $416.87 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $398.11 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $97.72