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South Carolina rates for HCPCS 00102

Anesthesia for procedures involving plastic repair of cleft lip

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $758.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,818.38 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $363.08 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $79.43