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Maine rates for HCPCS 01638

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$458.64 / $458.64 / $458.64
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$458.64 / $458.64 / $458.64