They were trying to avoid what you suggested. Putting anesthesia and patient on notice due to everything being surprise billing from the anesthesiologist.
” If an anesthesiologist submits a bill where the actual time of care is longer than Anthem’s limit, Anthem will deny payment for the anesthesiologist’s care. “
https://www.asahq.org/about-asa/newsroom/news-releases/2024/11/anthem-blue-cross-blue-shield-will-not-pay-complete-duration-of-anesthesia-for-surgical-procedures
Stick it to the patient and the doctors from a company that made over $170 Billion in profit in 2023.