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Arizona rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.00 / $529.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $285.60 / $403.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $420.00 / $571.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $2,170.00 / $3,745.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $55.00 / $1,576.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $47.00 / $85.00