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Pennsylvania rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $501.06 / $604.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.00 / $604.79
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.00 / $385.00 / $576.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $384.00 / $540.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $525.00 / $525.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.28 / $595.00 / $1,008.00
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $420.00 / $420.00
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $385.00 / $665.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $455.00 / $560.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $434.00 / $627.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $30.27 / $42.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $390.00 / $540.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $57.12 / $77.00