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Maine rates for HCPCS 01716

Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$879.39 / $879.39 / $879.39
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$879.39 / $879.39 / $879.39