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Pennsylvania 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
$30.20 / $426.58 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $645.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $478.63
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $489.78 / $870.96
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $446.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $389.05 / $501.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $416.87 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.00 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $79.43