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Maine rates for HCPCS 00862

Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$870.96 / $870.96 / $870.96
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$870.96 / $870.96 / $870.96