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Arkansas rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $294.00 / $434.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $42.00 / $393.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.40 / $324.00 / $420.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $50.00 / $56.00