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Maine rates for HCPCS 00120

Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$223.87 / $223.87 / $223.87
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$741.31 / $741.31 / $741.31
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$223.87 / $223.87 / $223.87