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Maryland rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.43 / $430.43 / $574.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $833.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $432.00 / $565.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $455.00 / $581.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $58.91 / $92.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.61 / $120.61 / $175.00