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Nebraska rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.50 / $385.00 / $549.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $1,204.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.24 / $58.19 / $112.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.50 / $521.50 / $535.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.00 / $485.34 / $576.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.00 / $3,413.45 / $3,480.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.30 / $65.00 / $95.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $64.00 / $78.95