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Maine rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.48 / $1,489.85 / $1,489.85
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$896.40 / $896.40 / $896.40
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$2,037.00 / $2,037.00 / $2,037.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.48 / $1,200.48 / $1,489.85
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$896.40 / $896.40 / $896.40
Martin's Point
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$2,037.00 / $2,037.00 / $2,037.00