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Maine rates for HCPCS 00790

Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $870.96 / $933.25
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,454.71
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$562.34 / $562.34 / $776.25
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$316.23 / $602.56 / $660.69
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$2,344.23 / $3,162.28 / $3,715.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $870.96 / $977.24
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,454.71
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$562.34 / $562.34 / $776.25
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$316.23 / $602.56 / $1,047.13
Martin's Point
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$2,344.23 / $3,162.28 / $3,715.35