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Maine rates for HCPCS 01712

Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenotomy, elbow to shoulder, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$394.14 / $394.14 / $394.14
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$394.14 / $394.14 / $394.14