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Maine rates for HCPCS 01214

Anesthesia for open procedures involving hip joint; total hip arthroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,658.70 / $1,658.70 / $1,658.70
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$634.95 / $634.95 / $747.00
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$608.55 / $939.88 / $1,307.61
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,658.70 / $1,658.70 / $1,658.70
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$634.95 / $634.95 / $747.00
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$390.35 / $608.55 / $1,307.61