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New Hampshire rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $630.98 / $630.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.50 / $553.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.70 / $475.30 / $629.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $480.00 / $651.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $66.00 / $98.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.35 / $153.29 / $195.09