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North Dakota rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $455.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $42.00 / $455.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $432.00 / $446.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.85 / $2,700.00 / $3,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $75.00 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $75.00 / $84.67