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Maine rates for HCPCS 00120

Anesthesia External Middle & Inner Ear W/Bx Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,581.18 / $1,581.18 / $1,581.18
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$747.00 / $747.00 / $747.00
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$125.81 / $125.81 / $125.81
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,581.18 / $1,581.18 / $1,581.18
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$747.00 / $747.00 / $747.00
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$125.81 / $125.81 / $225.67