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Maine rates for HCPCS 01472

Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$575.44 / $575.44 / $575.44
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$575.44 / $575.44 / $575.44