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South Dakota rates for HCPCS 00102

Anesthesia for procedures involving plastic repair of cleft lip

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $354.81 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $89.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $575.44