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Indiana rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $560.00 / $630.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.00 / $385.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.90 / $294.00 / $493.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $180.09 / $252.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.84 / $203.39 / $490.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $360.00 / $570.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $54.00 / $76.00