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Maine rates for HCPCS 00402

Anesthesia Reconstruction Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$999.05 / $999.05 / $999.05
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$999.05 / $999.05 / $999.05