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Pennsylvania rates for HCPCS 00102

Anesthesia for procedures involving plastic repair of cleft lip

Facilitymedian $501 · 10th–90th $30–$6170%10%20%10th90th$501Professionalmedian $55 · 10th–90th $30–$7080%10%10th90th$55$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $501.19 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $47.86 / $691.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $575.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $575.44 / $1,000.00
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $416.87 / $524.81
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $457.09 / $588.84
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $457.09 / $741.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $23.99 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $1,000.00