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Maine rates for HCPCS 01630

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified

Facilitymedian $891 · 10th–90th $537$3,8020%20%10th90th$891$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
Aetna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Facility
Modifier
QZ
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46