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Maine rates for HCPCS 01965

Anesthesia Incomplete/Missed Abortion Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$611.10 / $611.10 / $611.10
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$336.15 / $336.15 / $522.90
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$305.76 / $716.17 / $716.17
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$469.92 / $469.92 / $469.92
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$611.10 / $611.10 / $611.10
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$336.15 / $336.15 / $522.90
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$203.10 / $305.76 / $716.17
Martin's Point
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$469.92 / $469.92 / $469.92