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South Carolina rates for HCPCS 00102

Anesthesia Cleft Lip Involving Plastic Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $751.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.00 / $529.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $450.00 / $758.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $2,100.00 / $3,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $270.00 / $609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $65.00 / $80.00