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Virginia 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 / $363.08 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $457.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.17 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $457.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $2,454.71 / $4,786.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $64.57 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $83.18