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Pennsylvania rates for HCPCS 01402

Anesth Open/Surg Arthrs Total Knee Arthroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$856.95 / $856.95 / $991.17
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$1,863.14 / $1,863.14 / $4,319.85
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$856.95 / $856.95 / $991.17
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$1,863.14 / $1,863.14 / $4,319.85