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Anesthesia Care for Cleft Lip Repair

Pennsylvania rates for HCPCS 00102

Covers the anesthesia care given during plastic surgery to repair a cleft lip. The anesthesia professional gives the sleep medicine, protects the airway while the surgeon works right beside the nose and mouth, and monitors breathing, heart rate and blood pressure throughout. The surgeon's work is charged separately.

Rates data updated July 2026.

Facilitymedian $457 · 10th–90th $30$6310%20%10th90th$457Professionalmedian $48 · 10th–90th $30$6310%10%20%10th90th$48$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$457.09
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$602.56
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$575.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$575.44
Typical High
$1,023.29
Johns Hopkins Employer Health Plan
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$524.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$457.09
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$416.87
Typical High
$630.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$23.99
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$1,000.00