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Missouri rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.83 / $455.00 / $623.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $42.00 / $529.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $364.00 / $535.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $378.00 / $500.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.00 / $2,730.00 / $3,041.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $59.00 / $1,576.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $57.00 / $79.53